Provider Demographics
NPI:1083113278
Name:DA SILVA, PAULA (DNP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:DA SILVA
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:DA SILVA LIMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP
Mailing Address - Street 1:1650 S DIXIE HWY STE 501
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7405
Mailing Address - Country:US
Mailing Address - Phone:954-479-6295
Mailing Address - Fax:
Practice Address - Street 1:1650 S DIXIE HWY STE 501
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7405
Practice Address - Country:US
Practice Address - Phone:954-479-6295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003512363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner