Provider Demographics
NPI:1093526428
Name:SELVA, ADA FRANCIS
Entity type:Individual
Prefix:
First Name:ADA
Middle Name:FRANCIS
Last Name:SELVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 N HIAWASSEE RD APT 60
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-1076
Mailing Address - Country:US
Mailing Address - Phone:305-783-1129
Mailing Address - Fax:
Practice Address - Street 1:222 N HIAWASSEE RD APT 60
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-1076
Practice Address - Country:US
Practice Address - Phone:305-783-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator