Provider Demographics
NPI:1942726476
Name:SILVA, ISABEL C (AP, DOM)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:C
Last Name:SILVA
Suffix:
Gender:F
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 BREWERTON LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4222
Mailing Address - Country:US
Mailing Address - Phone:407-223-7419
Mailing Address - Fax:
Practice Address - Street 1:7250 S KIRKMAN RD STE 102
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8952
Practice Address - Country:US
Practice Address - Phone:407-223-7419
Practice Address - Fax:407-223-7419
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3842171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist