Provider Demographics
NPI:1295762458
Name:SILVER, CRAIG A (DO)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:A
Last Name:SILVER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2999 NE 191ST STREET
Mailing Address - Street 2:SUITE 250 CONCORDE CENTRE II
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3115
Mailing Address - Country:US
Mailing Address - Phone:305-830-3650
Mailing Address - Fax:305-830-3653
Practice Address - Street 1:2999 NE 191ST STREET
Practice Address - Street 2:SUITE 250 CONCORDE CENTRE II
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3115
Practice Address - Country:US
Practice Address - Phone:305-830-3650
Practice Address - Fax:305-830-3653
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8331207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01655OtherBLUE SHIELD OF FL
FL268456000Medicaid
FL01655OtherBLUE SHIELD OF FL
FL268456000Medicaid