Provider Demographics
NPI:1417358656
Name:SILVER, JOSHUA ERIC (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ERIC
Last Name:SILVER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1866 MICHIGAN AVE NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-3332
Mailing Address - Country:US
Mailing Address - Phone:818-292-4205
Mailing Address - Fax:
Practice Address - Street 1:2370 9TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-3239
Practice Address - Country:US
Practice Address - Phone:818-292-4205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11301111N00000X
FLCH14014111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
No111N00000XChiropractic ProvidersChiropractor