Doctor Name: | MR. STEVE RANDOLPH SWITZER |
NPI Number: | 1003878356 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA2562 |
Business Practice Address: | 345 Miracle Strip Pkwy S.w. Fort Walton Beach, FL - 32548 |
Business Phone Number: | 8502443211 |
Business Fax Number: | 8502431992 |
Mailing Address: | 345 Miracle Strip Pkwy S.w., FORT WALTON BEACH |
State: | FL |
Postal Code: | 32548 |
Phone Number: | 8502443211 |
Fax Number: | 8502431992 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA2562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |