Provider Demographics
NPI:1528252111
Name:SWEARENGEN, SUZANNE M (AP)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:SWEARENGEN
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 NE 5TH AVE
Mailing Address - Street 2:SUITE D #493
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483
Mailing Address - Country:US
Mailing Address - Phone:954-755-1292
Mailing Address - Fax:
Practice Address - Street 1:3000 N UNIVERSITY DR STE A
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5048
Practice Address - Country:US
Practice Address - Phone:954-755-1292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2245171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
204697982OtherEIN