Provider Demographics
NPI:1588771729
Name:SWARTZ, NATHANIEL ALLEN (PA-C)
Entity type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:ALLEN
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1952 FIELD RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-2316
Mailing Address - Country:US
Mailing Address - Phone:941-926-7546
Mailing Address - Fax:
Practice Address - Street 1:1952 FIELD RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-2316
Practice Address - Country:US
Practice Address - Phone:941-926-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9103840363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant