Individual
TASHA M SYLVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16410 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 343-6202
(239) 437-8537
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6202
(239) 437-8537
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014867400
—
FL
01
—
K7665
MEDICARE GROUP
FL
01
—
U5623W
MEDICARE
FL
Enumeration date
07/11/2006
Last updated
03/30/2021
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