Provider Demographics
NPI:1114935624
Name:SCIAVOLINO-DAY, CRISTINA E (MD)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:E
Last Name:SCIAVOLINO-DAY
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 1:1175 CREEKSIDE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-2068
Mailing Address - Country:US
Mailing Address - Phone:239-596-8702
Mailing Address - Fax:239-596-8701
Practice Address - Street 1:1175 CREEKSIDE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-2068
Practice Address - Country:US
Practice Address - Phone:239-596-8702
Practice Address - Fax:239-596-8701
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73942207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003460800Medicaid
FL42629OtherBCBS
FL42629UOtherMEDICARE PTAN
FLBE4860183OtherDEA
FL42629UOtherMEDICARE PTAN