Organization Active NPI

SWFL Men's Health

  • Medical Specialty Clinic/Center
  • Venice, FL
National Provider Identifier
1184900649
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SWFL MEN'S HEALTH
Practice address
401 Commercial CT
Suite D
Venice, FL 34292-1652
Phone
(941) 870-2250
NPI assigned
Oct 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul A Sloan
Title
Administrator
Phone
(941) 349-6583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

401 Commercial CT
Suite D
Venice, FL 34292-1652

Mailing address

401 Commercial CT
Suite C
Venice, FL 34292-1652
Phone (941) 870-2250

National Provider Directory

National Provider Directory

Locations

401 Commercial Ct
Ste C
Venice, FL 34292

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1184900649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCIAL CT",
            "address_2": "SUITE C",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921652",
            "telephone_number": "941-870-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COMMERCIAL CT",
            "address_2": "SUITE D",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921652",
            "telephone_number": "941-870-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWFL MEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-349-6583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.