Provider Demographics
NPI:1215922315
Name:SILVERMAN, LARRY NEIL (MD)
Entity type:Individual
Prefix:
First Name:LARRY
Middle Name:NEIL
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2877
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34230-2877
Mailing Address - Country:US
Mailing Address - Phone:941-302-1566
Mailing Address - Fax:
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-4809
Practice Address - Fax:813-745-7231
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00722352085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL85449OtherOP. ENG. LOC. 825 PROV. #
FL27026OtherWELLCARE PROVIDER NUMBER
FL207227OtherAMERGROUP GROUP NUMBER
FL247407OtherAVMED PROVIDER NUMBER
FL5830639OtherAETNA PROVIDER NUMBER
FL5899OtherAVMED PIN NUMBER
FLME72235AOtherMETCARE PROVIDER ID #
FL24-05264OtherUTD. HLTHCR. PROVIDER #
FL7441925-001OtherCIGNA PROVIDER NUMBER
FLG54726Medicare UPIN
FL247407OtherAVMED PROVIDER NUMBER