Provider Demographics
NPI:1811453319
Name:DA SILVA, IZABELLA (FNP)
Entity type:Individual
Prefix:
First Name:IZABELLA
Middle Name:
Last Name:DA SILVA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:IZABELLA
Other - Middle Name:
Other - Last Name:AZEVEDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 ARTHUR GODFREY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3523
Mailing Address - Country:US
Mailing Address - Phone:305-280-0643
Mailing Address - Fax:305-363-5541
Practice Address - Street 1:400 ARTHUR GODFREY RD STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3523
Practice Address - Country:US
Practice Address - Phone:305-280-0643
Practice Address - Fax:305-363-5541
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11001044363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner