Provider Demographics
NPI:1720188089
Name:SILVERS, STEVEN MARK (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARK
Last Name:SILVERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:MARK
Other - Last Name:SILVERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:4302 ALTON ROAD
Mailing Address - Street 2:460
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2893
Mailing Address - Country:US
Mailing Address - Phone:305-535-9600
Mailing Address - Fax:305-672-6843
Practice Address - Street 1:4302 ALTON ROAD
Practice Address - Street 2:460
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2893
Practice Address - Country:US
Practice Address - Phone:305-535-9600
Practice Address - Fax:305-672-6843
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4929207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL061382700Medicaid
E58110Medicare UPIN
FL061382700Medicaid