Healthcare Provider Details

I. General information

NPI: 1144133976
Provider Name (Legal Business Name): SILVANA ESTELLA GOMEZ PAEZ MASSAGE THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 RYANT BLVD
SEBRING FL
33870-8075
US

IV. Provider business mailing address

11931 SW 153 CT
MIAMI FL
33196
US

V. Phone/Fax

Practice location:
  • Phone: 863-382-4445
  • Fax: 863-250-1361
Mailing address:
  • Phone: 786-554-6064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA99233
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: