Provider Demographics
NPI:1053585380
Name:SWISCHUK, PETER N (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:N
Last Name:SWISCHUK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4581 WESTON ROAD
Mailing Address - Street 2:BOX 327
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3141
Mailing Address - Country:US
Mailing Address - Phone:305-654-5221
Mailing Address - Fax:305-654-6872
Practice Address - Street 1:160 NW 170TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5521
Practice Address - Country:US
Practice Address - Phone:772-581-6226
Practice Address - Fax:772-581-5771
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME705152085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300121652OtherMEDICARE RAILROAD
FLE0307ZMedicare PIN
G65713Medicare UPIN