IRIS JEANNE SWIDERSKI

PORT CHARLOTTE, FL
NPI1154754711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  9109495)
Additional Taxonomies363A00000X Physician Assistant
(Licence: PA  MA058839)
363A00000X Physician Assistant
(Licence: MI  5601011329)
363A00000X Physician Assistant
(Licence: NY  016860)
363AS0400X Physician Assistant, Surgical
(Licence: SC  MPA.5834)
363A00000X Physician Assistant
(Licence: NJ  25MP00627300)
363A00000X Physician Assistant
(Licence: VA  0110007964)
363AS0400X Physician Assistant, Surgical
(Licence: MA  PA9389)
363AS0400X Physician Assistant, Surgical
(Licence: MO  2023009774)
363AS0400X Physician Assistant, Surgical
(Licence: NC  0010-13160)
Enumeration Date2013-08-18
Last Update Date2024-09-05
Business Address
IRIS JEANNE SWIDERSKI DHSc, PA-C
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952-6705
Phone number: 941-629-1181
Mailing Address
IRIS JEANNE SWIDERSKI DHSc, PA-C
3020 ADDISON DR
MELBOURNE, FL 32940-7676
Phone number: 631-252-7945