Organization
NANCY DSILVA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DSILVA (OWNER/PRESIDENT)
(850) 651-5600
Entity
Organization
Contact information
Practice address
11 10TH AVE, SHALIMAR, FL 32579-1304
(850) 651-5600
(850) 609-1626
Mailing address
PO BOX 815, SHALIMAR, FL 32579-0815
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0050310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070004651
MEDICARE RAILROAD
FL
Enumeration date
04/25/2008
Last updated
04/28/2008
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