Healthcare Provider Details

I. General information

NPI: 1760302558
Provider Name (Legal Business Name): NICOLE P SILVERA-BERNARD CPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5317 LINDER PL STE 109
NEW PORT RICHEY FL
34652-3735
US

IV. Provider business mailing address

5605 FARRAGUT LN
NEW PORT RICHEY FL
34652-1316
US

V. Phone/Fax

Practice location:
  • Phone: 727-237-3557
  • Fax:
Mailing address:
  • Phone: 727-237-3557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: