Basic Information
Provider Information
NPI: 1598178980
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILVA
FirstName: TAHSEEN
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5700 LAKE WORTH RD STE 20
Address2: SUITE 240
City: GREENACRES
State: FL
PostalCode: 334634727
CountryCode: US
TelephoneNumber: 5619667703
FaxNumber: 5617428226
Practice Location
Address1: 2645 N FEDERAL HWY
Address2: SUITE 100
City: DELRAY BEACH
State: FL
PostalCode: 334836100
CountryCode: US
TelephoneNumber: 5617402004
FaxNumber: 5617428226
Other Information
ProviderEnumerationDate: 06/04/2014
LastUpdateDate: 09/29/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XARNP9304628FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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