Individual
DR. RONALD B. SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 KAPOK CRES, ROYAL PALM BEACH, FL 33411-4746
(561) 555-5555
Mailing address
101 KAPOK CRES, ROYAL PALM BEACH, FL 33411-4746
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0008132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58851
BCBS
FL
Enumeration date
01/13/2006
Last updated
07/09/2007
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