Provider Demographics
NPI:1912297920
Name:BAXTER, SILVIA GESHEVA (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:GESHEVA
Last Name:BAXTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:IVANOVA
Other - Last Name:GESHEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1600 SW ARCHER RD
Mailing Address - Street 2:BOX 100265
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610
Mailing Address - Country:US
Mailing Address - Phone:352-273-9000
Mailing Address - Fax:352-392-8413
Practice Address - Street 1:304 SW 15TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6534
Practice Address - Country:US
Practice Address - Phone:352-401-8817
Practice Address - Fax:352-401-8822
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0070233207T00000X
UT10804037-1205207T00000X
FLME140852207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2150243Medicaid
CO9000215953Medicaid