Individual
JUSTINO SILVESTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3524 TAMIAMI TRL, SUITE D, PORT CHARLOTTE, FL 33952-8100
(941) 255-9815
(941) 255-9831
Mailing address
PO BOX 495550, PORT CHARLOTTE, FL 33949-5550
(941) 255-9815
(941) 255-9831
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME67570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252914900
—
FL
Enumeration date
11/14/2005
Last updated
10/20/2011
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