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Organization
JUSTINO SILVESTRE MD PA
Active
Organization
JUSTINO SILVESTRE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINO SILVESTRE MD (OWNER AND PHYSICIAN)
(941) 255-9815
Entity
Organization
Contact information
Practice address
3524 TAMIAMI TRAIL, SUITE D, PORT CHARLOTTE, FL 33948
(941) 255-9815
Mailing address
PO BOX 495550, PORT CHARLOTTE, FL 33949-5550
(941) 255-9815
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME67570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252914900
—
FL
Enumeration date
02/07/2007
Last updated
10/20/2011
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