MEDICARE: RICHARD A SILVERMAN M.D.

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	207W00000X	Ophthalmology Physician	ME0058806	FL

General Provider Information

NPI Number	:	1902964208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD A SILVERMAN M.D.

Provider Business Mailing Address
First Line	:	7711 S RAEFORD RD STE 102-137
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-5986
Country	:	US
Telephone Number	:	239-450-6001
Fax Number	:

Provider Business Practice Location Address
First Line	:	2644 SPYGLASS DR
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-2752
Country	:	US
Telephone Number	:	520-477-8946
Fax Number	:

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/30/2021

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