| Silva Family Center Llc | |
|
230 Old Bartow Eagle Lake Rd Bartow FL 33830-3369 | |
| (863) 800-3741 | |
| (863) 800-3742 |
| Full Name | Silva Family Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 230 Old Bartow Eagle Lake Rd, Bartow, Florida |
| Authorized Official Name and Position | Cynthia Marie Silva (OWNER) |
| Authorized Official Contact | 8638003741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silva Family Center Llc 230 Old Bartow Eagle Lake Rd Bartow FL 33830-3369 Ph: (863) 800-3741 | Silva Family Center Llc 230 Old Bartow Eagle Lake Rd Bartow FL 33830-3369 Ph: (863) 800-3741 |
| NPI Number | 1124745120 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 06/30/2023 |
| Medicare PECOS PAC ID | 5193193217 |
|---|---|
| Medicare Enrollment ID | O20221122000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124745120 | NPI | - | NPPES |
| 11792600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cynthia Marie Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689287831 PECOS PAC ID: 7214357672 Enrollment ID: I20201023001227 |
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