Individual
JAMES M. SHWAYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-9507
(352) 273-7942
Mailing address
13413 ORINO ST, VENICE, FL 34293-2743
(720) 490-6940
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
22230
MS
207VG0400X
Gynecology Physician
Primary
134448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000482456
ANTHEM
—
05
—
200855930
—
IN
01
—
50011053
PASSPORT SPECIALITY
KY
01
—
50011195
PASSPORT PCP
KY
05
—
64120322
—
KY
05
—
93875584
—
FL
Enumeration date
07/17/2006
Last updated
03/02/2024
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