Basic Information
Provider Information
NPI: 1497244610
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILVA
FirstName: YELITZA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
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Mailing Information
Address1: PO BOX 743144
Address2:  
City: ATLANTA
State: GA
PostalCode: 303743144
CountryCode: US
TelephoneNumber: 7865962000
FaxNumber:  
Practice Location
Address1: 1228 S PINE ISLAND RD STE 410
Address2:  
City: PLANTATION
State: FL
PostalCode: 333244583
CountryCode: US
TelephoneNumber: 7868371490
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2018
LastUpdateDate: 08/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN9308657FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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