Individual
ALLEN GRAY SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 SCENIC CIRCLE DR, BONIFAY, FL 32425-3060
(850) 547-8500
(850) 547-8515
Mailing address
603 SCENIC CIRCLE DR, BONIFAY, FL 32425-3060
(850) 547-8500
(850) 547-8515
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14557
PR
208D00000X
General Practice Physician
Primary
ACN 263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000207600
—
FL
Enumeration date
05/01/2007
Last updated
01/29/2013
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