Provider Demographics
NPI:1760636732
Name:SILVER CONSULTING SERVICES INC
Entity Type:Organization
Organization Name:SILVER CONSULTING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:H
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-634-0805
Mailing Address - Street 1:1050 RIVERSIDE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4123
Mailing Address - Country:US
Mailing Address - Phone:904-634-0805
Mailing Address - Fax:904-634-0950
Practice Address - Street 1:1050 RIVERSIDE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4123
Practice Address - Country:US
Practice Address - Phone:904-634-0805
Practice Address - Fax:904-634-0950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center