Provider Demographics
NPI:1821074030
Name:GARCIA, SILVIO ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:SILVIO
Middle Name:ANTONIO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 HARBOUR ISLE CT
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4417
Mailing Address - Country:US
Mailing Address - Phone:561-512-5445
Mailing Address - Fax:561-624-6046
Practice Address - Street 1:901 45TH ST
Practice Address - Street 2:KAPLAN CANCER CENTER
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2413
Practice Address - Country:US
Practice Address - Phone:561-881-2815
Practice Address - Fax:561-881-0951
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME514122085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL379583700Medicaid
FL11523BMedicare PIN
FL379583700Medicaid