| Tommy Swiney Inc | |
|
250 John Knox Rd Ste 5 Tallahassee FL 32303-4234 | |
| (850) 877-3936 | |
| (850) 877-3546 |
| Full Name | Tommy Swiney Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 John Knox Rd Ste 5, Tallahassee, Florida |
| Authorized Official Name and Position | Tommy Swiney (OWNER) |
| Authorized Official Contact | 8505908972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tommy Swiney Inc 250 John Knox Rd Ste 5 Tallahassee FL 32303-4234 Ph: (850) 877-3936 | Tommy Swiney Inc 250 John Knox Rd Ste 5 Tallahassee FL 32303-4234 Ph: (850) 877-3936 |
| NPI Number | 1881323426 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Medicare PECOS PAC ID | 1254715584 |
|---|---|
| Medicare Enrollment ID | O20220905000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881323426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tommy Swiney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467446872 PECOS PAC ID: 1658395579 Enrollment ID: I20060118000938 |
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