Provider Demographics
NPI:1043428311
Name:MARCIANO, ALEXIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIA
Middle Name:
Last Name:MARCIANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9975 TAMIAMI TRL N
Mailing Address - Street 2:SUITE #1
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1942
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9975 TAMIAMI TRL N
Practice Address - Street 2:SUITE #1
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1942
Practice Address - Country:US
Practice Address - Phone:239-513-1117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME698402086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery