Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME0058337 | FL |
NPI | 1235113515 |
---|---|
Provider Name | Dr. Robert R Silvera |
First Address | Palatka, FL 32177-3883 |
Second Address | Palatka, FL 32177-3883 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 12/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
064382300 | (05) | FL |
E66573 | (02) | FL |