Provider Demographics
NPI:1528120664
Name:SWIHART, STANLEY EUGENE (NMD, DOM)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:EUGENE
Last Name:SWIHART
Suffix:
Gender:M
Credentials:NMD, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11309 LOUISA MAY WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5520
Mailing Address - Country:US
Mailing Address - Phone:813-672-3627
Mailing Address - Fax:
Practice Address - Street 1:11309 LOUISA MAY WAY
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5520
Practice Address - Country:US
Practice Address - Phone:813-672-3627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1678171100000X
DCNAT1000686175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath