Individual provider Active NPI

Paul Victor Swinton Jr., FNP

  • Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1265224208
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11038628 Issued in FL
Practice address
4706 Carambola Cir N
Coconut Creek, FL 33066-2909
Phone
(954) 448-8654
NPI assigned
May 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11038628 FL Primary

Addresses

Primary practice location

4706 Carambola Cir N
Coconut Creek, FL 33066-2909

Mailing address

4706 Carambola Cir N
Coconut Creek, FL 33066-2909
Phone (954) 448-8654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11038628FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1265224208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 CARAMBOLA CIR N",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662909",
            "telephone_number": "954-448-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 CARAMBOLA CIR N",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662909",
            "telephone_number": "954-448-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINTON",
        "first_name": "PAUL",
        "middle_name": "VICTOR",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11038628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.