Provider Demographics
NPI:1295021012
Name:SILVESTRE, FERNANDO B (MD)
Entity Type:Individual
Prefix:
First Name:FERNANDO
Middle Name:B
Last Name:SILVESTRE
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:303 N CLYDE MORRIS BLVD
Mailing Address - Street 2:PSYCHIATRY
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-2709
Mailing Address - Country:US
Mailing Address - Phone:138-642-5014
Mailing Address - Fax:386-226-3371
Practice Address - Street 1:303 N CLYDE MORRIS BLVD
Practice Address - Street 2:HALIFAX HEALTH MEDICAL CENTER
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-2709
Practice Address - Country:US
Practice Address - Phone:386-254-4080
Practice Address - Fax:386-239-2376
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2020-12-03
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Provider Licenses
StateLicense IDTaxonomies
FLME1273492084P0800X
283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry