Healthcare Provider Details

I. General information

NPI: 1124916655
Provider Name (Legal Business Name): GIOVANNA FREITAS SPACCA SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 S UNIVERSITY DR STE 203
DAVIE FL
33328-5309
US

IV. Provider business mailing address

475 NW 83RD ST APT 475
MIAMI FL
33150-2683
US

V. Phone/Fax

Practice location:
  • Phone: 954-533-8972
  • Fax:
Mailing address:
  • Phone: 786-355-9319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: