Provider Demographics
NPI:1447580485
Name:SILVA, ANNE (AP,DOM,RN)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:AP,DOM,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21488 SUMMERTRACE CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1181
Mailing Address - Country:US
Mailing Address - Phone:954-317-2922
Mailing Address - Fax:
Practice Address - Street 1:21488 SUMMERTRACE CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1181
Practice Address - Country:US
Practice Address - Phone:954-317-2922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-13
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2778171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist