Individual
AUDREY JACQUELINE SILVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 MAGUIRE BLVD STE 100, ORLANDO, FL 32803-3059
(407) 674-6870
Mailing address
6837 GADWALL LN, ORLANDO, FL 32810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN951961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351739640
—
FL
Enumeration date
02/25/2019
Last updated
02/25/2019
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