Swift, Allen Gray

Swift, Allen Gray is an sole proprietor health care provider with primary practice located at 603 Scenic Circle Dr , Bonifay FL 32425-3060. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Swift, Allen Gray can be contacted via phone (850) 547-8500.

Contact Information

Primary practice address
603 Scenic Circle Dr Bonifay FL 32425-3060
Phone: (850) 547-8500
Fax: (850) 547-8515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14557 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN 263 Florida

Profile Details

NPI number 1992925937
LBN Legal business name Swift, Allen Gray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jan 29th, 2013 - about 12 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 1992925937 NPPES
Florida MEDICAID 000207600

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