MEDICARE: IZABELLA DA SILVA FNP

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	363L00000X	Nurse Practitioner	11001044	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811453319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IZABELLA DA SILVA FNP

Provider Business Mailing Address
First Line	:	400 ARTHUR GODFREY RD STE 200
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3523
Country	:	US
Telephone Number	:	305-280-0643
Fax Number	:	305-363-5541

Provider Business Practice Location Address
First Line	:	400 ARTHUR GODFREY RD STE 200
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3523
Country	:	US
Telephone Number	:	305-280-0643
Fax Number	:	305-363-5541

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

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	02/20/2019

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