Provider Demographics
NPI:1942218433
Name:VINARDELL, SILVIO (MD)
Entity type:Individual
Prefix:
First Name:SILVIO
Middle Name:
Last Name:VINARDELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4779 COLLINS AVE
Mailing Address - Street 2:APT 4206
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3251
Mailing Address - Country:US
Mailing Address - Phone:786-522-5002
Mailing Address - Fax:786-522-5002
Practice Address - Street 1:JACKSON SOUTH COMMUNITY HOSPITAL
Practice Address - Street 2:9333 S.W. 152ND STREET
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-1778
Practice Address - Country:US
Practice Address - Phone:786-522-5002
Practice Address - Fax:786-522-5002
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME64293207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF75001Medicare UPIN