Individual
MRS. ANDREA DASILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
609 5TH ST SW STE 3, LIVE OAK, FL 32064-2239
(386) 965-0486
(888) 841-9040
Mailing address
609 5TH ST SW, SUITE 3, LIVE OAK, FL 32064
(386) 965-0486
(888) 841-9040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ9295
FL LICENSE
FL
Enumeration date
08/28/2016
Last updated
02/26/2020
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