SWAN ORAL & FACIAL SURGERY, LLC; NPI #1073143731

Contact Information

SWAN ORAL & FACIAL SURGERY, LLC

407 S KENTUCKY AVE
LAKELAND, FL 33801-5301

Phone: 863-688-1537
Fax: 863-687-3418
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for SWAN ORAL & FACIAL SURGERY, LLC

NPI Number 1073143731

LBN Legal business name SWAN ORAL & FACIAL SURGERY, LLC

Authorized official RUSHI PATEL - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/22/2020

Last updated 01/22/2020 - About 6 years ago

Identifiers

Other

DN17708

STATE LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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