Healthcare Provider Details

I. General information

NPI: 1770695728
Provider Name (Legal Business Name): JOEL CHARLES SILVERFIELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4612 N HABANA AVE FL 1
TAMPA FL
33614-7101
US

IV. Provider business mailing address

4612 N HABANA AVE FL 1
TAMPA FL
33614-7101
US

V. Phone/Fax

Practice location:
  • Phone: 813-840-3526
  • Fax: 813-443-8182
Mailing address:
  • Phone: 813-840-3526
  • Fax: 813-443-8182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME039100
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME039100
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: