Provider Demographics
NPI:1720855760
Name:SILVERA, NOELL GEORGIA-AMORE
Entity Type:Individual
Prefix:
First Name:NOELL
Middle Name:GEORGIA-AMORE
Last Name:SILVERA
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 1:1220 SAXONY RD SW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32908-7100
Mailing Address - Country:US
Mailing Address - Phone:321-367-9753
Mailing Address - Fax:
Practice Address - Street 1:1220 SAXONY RD SW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32908-7100
Practice Address - Country:US
Practice Address - Phone:321-367-9753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst