MEDICARE: SILVIANA VINA CSFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1104781392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIANA VINA CSFA

Provider Business Mailing Address
First Line	:	255 W MARTIN LUTHER KING BLVD UNIT 1811
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-2030
Country	:	US
Telephone Number	:	980-420-3797
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 W MARTIN LUTHER KING BLVD UNIT 1811
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-2030
Country	:	US
Telephone Number	:	980-420-3797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ SILVIANA VINA CSFA” Practice Location

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