Provider Demographics
NPI:1992784151
Name:SWINSON, DOUGLAS LAWRENCE II (DC)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:LAWRENCE
Last Name:SWINSON
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5481 SW 60TH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7698
Mailing Address - Country:US
Mailing Address - Phone:352-840-0444
Mailing Address - Fax:352-873-4066
Practice Address - Street 1:5481 SW 60TH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7698
Practice Address - Country:US
Practice Address - Phone:352-840-0444
Practice Address - Fax:352-873-4066
Is Sole Proprietor?:No
Enumeration Date:2006-01-15
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381599400Medicaid
FLE4283Medicare ID - Type Unspecified
FLU80818Medicare UPIN