Individual
AGNES SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-0290
Mailing address
524 W VENICE AVE, VENICE, FL 34285-2010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA20872
FL
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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