Provider Demographics
NPI:1710702626
Name:DR. ARIC SWANCUTT DPM LLC
Entity type:Organization
Organization Name:DR. ARIC SWANCUTT DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIC
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SWANCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:507-696-4042
Mailing Address - Street 1:72 IRONWOOD WAY N
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3717
Mailing Address - Country:US
Mailing Address - Phone:507-696-4042
Mailing Address - Fax:
Practice Address - Street 1:5602 PGA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3829
Practice Address - Country:US
Practice Address - Phone:561-627-6444
Practice Address - Fax:561-627-3572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty