Provider Demographics
NPI:1083619639
Name:SILVERMAN, WILLIAM MARK (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MARK
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 RUBY CT
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5226
Mailing Address - Country:US
Mailing Address - Phone:407-677-4867
Mailing Address - Fax:407-677-4203
Practice Address - Street 1:590 RUBY CT
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5226
Practice Address - Country:US
Practice Address - Phone:407-677-4867
Practice Address - Fax:407-677-4203
Is Sole Proprietor?:No
Enumeration Date:2005-06-19
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0003966207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82286OtherBCBS
FL038365100Medicaid
FL038365100Medicaid
FLE14519Medicare UPIN