Provider Demographics
NPI:1326102443
Name:CARLOS ALBERTO SILVA MD PA
Entity Type:Organization
Organization Name:CARLOS ALBERTO SILVA MD PA
Other - Org Name:ADVANCED PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VICE PRESIDENT CLINICAL OPERAT.
Authorized Official - Prefix:
Authorized Official - First Name:INITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-202-5342
Mailing Address - Street 1:PO BOX 25487
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-2487
Mailing Address - Country:US
Mailing Address - Phone:941-216-0072
Mailing Address - Fax:855-253-4836
Practice Address - Street 1:4446 E FLETCHER AVE
Practice Address - Street 2:STE D
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4942
Practice Address - Country:US
Practice Address - Phone:813-972-2974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA MEDICAL SPECIALISTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-21
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL49111OtherBCBS
FL258487500Medicaid
FL49111OtherBCBS