# BANCROFT MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SWANN MEDICAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477942316
- **Legal business name:** SWANN MEDICAL
- **Authorized official:** DR. O'HARA MCKENNA DC (CO-OWNER)
- **Authorized official phone:** (678) 923-5315

## Contact information

- **Practice address:** 2111 W SWANN AVE STE 104, TAMPA, FL 33606-2478
- **Practice address phone:** (813) 253-5969
- **Practice address fax:** (813) 253-5848
- **Mailing address:** 2111 W SWANN AVE STE 104, TAMPA, FL 33606-2478
- **Mailing address phone:** (813) 253-5969
- **Mailing address fax:** (813) 253-5848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2015
- **Last updated:** 01/15/2015