Swanson, Paul Mathew

Swanson, Paul Mathew is an individual health care provider with primary practice located at 1871 Se Tiffany Ave Suite 100, Port St Lucie FL 34952-7585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Swanson, Paul Mathew can be contacted via phone (772) 335-5666.

Contact Information

Primary practice address
1871 Se Tiffany Ave Suite 100 Port St Lucie FL 34952-7585
Phone: (772) 335-5666
Fax: (772) 335-4826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0075493 Florida

Profile Details

NPI number 1861448243
LBN Legal business name Swanson, Paul Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 14th, 2010 - about 14 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 1861448243 NPPES
Florida Other 900002186 RAILROAD MEDICARE
Florida Other 0075493 RAILROAD MEDICARE
Florida Other 43952 RAILROAD MEDICARE
Florida MEDICAID 254047900 RAILROAD MEDICARE

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