Provider Demographics
NPI:1508497884
Name:ZILBERMAN, DARYA (PA-C)
Entity type:Individual
Prefix:
First Name:DARYA
Middle Name:
Last Name:ZILBERMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DARYA
Other - Middle Name:
Other - Last Name:KORSHUKOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:900 N ROCK RD
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34945-3483
Mailing Address - Country:US
Mailing Address - Phone:847-208-0816
Mailing Address - Fax:
Practice Address - Street 1:900 N ROCK RD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34945-3483
Practice Address - Country:US
Practice Address - Phone:772-466-1232
Practice Address - Fax:772-466-1340
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085009218363A00000X
FL9119743363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant