Provider Demographics
NPI:1538188115
Name:SWEET, JON F (MD)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:F
Last Name:SWEET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4932 W STATE ROAD 46 STE 1090
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-9244
Mailing Address - Country:US
Mailing Address - Phone:407-635-3340
Mailing Address - Fax:407-636-7852
Practice Address - Street 1:4932 W STATE ROAD 46 STE 1090
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771
Practice Address - Country:US
Practice Address - Phone:407-635-3340
Practice Address - Fax:407-636-7852
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64008207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372984200Medicaid
FL18952OtherBCBS
P00387706OtherRAILROAD MEDICARE
FL18952YMedicare PIN
FL18952OtherBCBS