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NPI Code Detail

MEDICARE: MARCELO C DASILVA MD

MEDICARE: MARCELO C DASILVA MD
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician036107166IL
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianME142306FL

Other Identifiers

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

General Provider Information

NPI Number : 1922064138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELO C DASILVA MD
Provider Business Mailing Address
First Line : 2415 N ORANGE AVE STE 700
Second Line :
City : ORLANDO
State : FL
Zip : 32804-5521
Country : US
Telephone Number : 407-303-2474
Fax Number : 407-303-0680
Provider Business Practice Location Address
First Line : 2415 N ORANGE AVE STE 700
Second Line :
City : ORLANDO
State : FL
Zip : 32804-5521
Country : US
Telephone Number : 407-303-2474
Fax Number : 407-303-0680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 10/24/2019

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1205891983 — LAWRENCE THOMAS CHIN MD
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1346205440 — DAVID J MINARD PA C
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Directions to “ MARCELO C DASILVA MD” Practice Location

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