MEDICARE: DEAN SILVERBERG DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	OS5504	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	005276	OTHER	GA	BLUE CROSS

General Provider Information

NPI Number	:	1821028408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN SILVERBERG DO

Provider Business Mailing Address
First Line	:	NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM
Second Line	:	619 SOUTH MARION AVENUE
City	:	LAKE CITY
State	:	FL
Zip	:	32025
Country	:	US
Telephone Number	:	386-755-3016
Fax Number	:	386-758-6008

Provider Business Practice Location Address
First Line	:	NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM
Second Line	:	619 SOUTH MARION AVENUE
City	:	LAKE CITY
State	:	FL
Zip	:	32025
Country	:	US
Telephone Number	:	386-755-3016
Fax Number	:	386-758-6008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	10/26/2010

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Directions to “ DEAN SILVERBERG DO” Practice Location

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