MEDICARE: MR. CARLOS HUGO SILVA PA-C

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	363A00000X	Physician Assistant	PA9119774	FL

General Provider Information

NPI Number	:	1417768102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CARLOS HUGO SILVA PA-C

Provider Business Mailing Address
First Line	:	6376 PINE RIDGE RD UNIT 300
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3908
Country	:	US
Telephone Number	:	239-348-4128
Fax Number	:	239-348-4149

Provider Business Practice Location Address
First Line	:	6376 PINE RIDGE RD UNIT 300
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3908
Country	:	US
Telephone Number	:	239-348-4128
Fax Number	:	239-348-4149

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

Provider Enumeration Date	:	01/14/2025
Last Update Date	:	01/12/2026

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