Organization
BANCROFT MEDICAL
Active
Parent organization
SWANN MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SWANN MEDICAL
Authorized official
DR. O'HARA MCKENNA DC (CO-OWNER)
(678) 923-5315
Entity
Organization
Contact information
Practice address
2111 W SWANN AVE STE 104, TAMPA, FL 33606-2478
(813) 253-5969
(813) 253-5848
Mailing address
2111 W SWANN AVE STE 104, TAMPA, FL 33606-2478
(813) 253-5969
(813) 253-5848
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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