Healthcare Provider Details
I. General information
NPI: 1528155918
Provider Name (Legal Business Name): MARC SILVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/06/2006
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2150 SE SALERNO RD STE 110
STUART FL
34997-6572
US
IV. Provider business mailing address
2150 SE SALERNO RD STE 110
STUART FL
34997-6572
US
V. Phone/Fax
- Phone: 877-463-2010
- Fax:
- Phone: 877-463-2010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 171339 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | 171339 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: