| Swanur Llc | |
|
11451 Cortez Blvd Brooksville FL 34613-7367 | |
| (352) 797-9677 | |
| (352) 600-8913 |
| Full Name | Swanur Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11451 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Syed Wajahat W Ali (OWNER / PROVIDER) |
| Authorized Official Contact | 3527979677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swanur Llc 11451 Cortez Blvd Brooksville FL 34613-7367 Ph: (352) 797-9677 | Swanur Llc 11451 Cortez Blvd Brooksville FL 34613-7367 Ph: (352) 797-9677 |
| NPI Number | 1558184556 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 1658891551 |
|---|---|
| Medicare Enrollment ID | O20250221003042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558184556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Seema Nishat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730249210 PECOS PAC ID: 0042244873 Enrollment ID: I20050921000857 |
| Provider Name | Syed W Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033270780 PECOS PAC ID: 7517991037 Enrollment ID: I20051219000717 |
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