Provider Demographics
NPI:1356972640
Name:SILVA-SPITALNIK, CARMEN A
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:A
Last Name:SILVA-SPITALNIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 S KELLER RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-6130
Mailing Address - Country:US
Mailing Address - Phone:407-488-6919
Mailing Address - Fax:
Practice Address - Street 1:231 EVEREST PT APT 105
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-6835
Practice Address - Country:US
Practice Address - Phone:407-488-6919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator