Healthcare Provider Details

I. General information

NPI: 1598765133
Provider Name (Legal Business Name): LAWRENCE A SILVER MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 HEALTH CARE DR
TRINITY FL
34655-5363
US

IV. Provider business mailing address

1815 HEALTH CARE DR
TRINITY FL
34655-5363
US

V. Phone/Fax

Practice location:
  • Phone: 727-232-0735
  • Fax: 727-232-1824
Mailing address:
  • Phone: 727-232-0735
  • Fax: 727-232-1824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW5837
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: