Provider Demographics
NPI:1609224740
Name:SILVERIO CASILLA, OVIANNY NATALIE (MD)
Entity Type:Individual
Prefix:MISS
First Name:OVIANNY
Middle Name:NATALIE
Last Name:SILVERIO CASILLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:690 S GOLDENROD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8108
Mailing Address - Country:US
Mailing Address - Phone:407-792-1144
Mailing Address - Fax:407-232-9807
Practice Address - Street 1:690 S GOLDENROD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8108
Practice Address - Country:US
Practice Address - Phone:407-792-1144
Practice Address - Fax:407-232-9807
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME165999207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine