Spicer, Lori Swails

Spicer, Lori Swails is an sole proprietor health care provider with primary practice located at 105 S Banana River Blvd , Cocoa Beach FL 32931-5041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spicer, Lori Swails can be contacted via phone (321) 868-8313.

Contact Information

Primary practice address
105 S Banana River Blvd Cocoa Beach FL 32931-5041
Fax: (321) 799-9273
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9361014 Florida

Profile Details

NPI number 1750716197
LBN Legal business name Spicer, Lori Swails
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2013
Last updated Mar 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750716197 NPPES
Florida Other HW601Z MEDICARE
Florida MEDICAID 100881600 MEDICARE

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