Healthcare Provider Details
I. General information
NPI: 1962255349
Provider Name (Legal Business Name): SILVIA ALIMENTI SINGLE SPECIALTY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/08/2024
Last Update Date: 04/08/2024
Certification Date: 04/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11336 W STATE ROAD 84 STE 40
DAVIE FL
33325-4007
US
IV. Provider business mailing address
21081 SAN SIMEON WAY APT 201
NORTH MIAMI BEACH FL
33179-2284
US
V. Phone/Fax
- Phone: 305-813-6959
- Fax:
- Phone: 305-813-6959
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246Z00000X |
| Taxonomy | Other Specialist/Technologist |
| License Number | 13-44-2843024 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: