Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Silver Wings Independence at Home LLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1407128234

Silver Wings Independence at Home LLC is a Geriatric Medicine (Family Medicine) Physician in Pinellas Park, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6279 Park Blvd N
Pinellas Park, FL 33781-3239
Phone: (727) 548-1232
Fax: (727) 548-1182
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence ME68819 (FL)

Record details

NPI number1407128234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurence Petty — Physician · (727) 548-1232
NPI enumeratedFebruary 9, 2012
Last updated in NPPESFebruary 9, 2012
Mailing address6279 Park Blvd N, Pinellas Park, FL 33781-3239