Individual
DR. MARK SCHWIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 SW 172ND AVE, MIRAMAR, FL 33029-5592
(954) 538-4864
Mailing address
500 N HIATUS RD STE 200, PEMBROKE PINES, FL 33026-5213
(954) 437-4800
(954) 437-6628
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
ME48299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046961100
—
FL
01
—
94406
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/23/2005
Last updated
04/08/2022
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