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Individual

TRICIA BRENEE SWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 265-5911
(352) 265-5606

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME107005
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002668000
FL
Enumeration date
01/09/2007
Last updated
05/20/2023
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