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Individual

DR. STEPHEN A. SWITLYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1921 WALDEMERE ST, SUITE 509, SARASOTA, FL 34239-2943
(941) 953-9955
(941) 953-9933
Mailing address
1921 WALDEMERE ST, SUITE 509, SARASOTA, FL 34239-2943
(941) 953-9955
(941) 953-9933

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME88297
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02045
UNIVERSAL HEALTHCARE
FL
01
203981924
TAX ID
FL
01
295577
AVMED
FL
01
71349
BCBS
FL
01
71349E
BCBS
FL
01
P00171065
MEDICARE RR (TAMPA)
FL
Enumeration date
04/21/2006
Last updated
05/13/2010
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