Provider Demographics
NPI:1962423319
Name:SILVERMAN, MARK A (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:946 SW 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4270
Mailing Address - Country:US
Mailing Address - Phone:305-595-9920
Mailing Address - Fax:305-266-7661
Practice Address - Street 1:946 SW 82ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4270
Practice Address - Country:US
Practice Address - Phone:305-595-9920
Practice Address - Fax:305-266-7661
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2395111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89849AOtherPIN NUMBER MED PART B
FL381609500Medicaid
FLCH2395OtherCHIRO LICENSE #
FLT56363Medicare UPIN