Provider Demographics
NPI:1659354272
Name:TIRONE, CRYSTIN MEGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CRYSTIN
Middle Name:MEGAN
Last Name:TIRONE
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 1:6450 38TH AVE N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-1645
Mailing Address - Country:US
Mailing Address - Phone:727-344-6060
Mailing Address - Fax:727-347-5586
Practice Address - Street 1:6450 38TH AVE N
Practice Address - Street 2:SUITE 200
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1645
Practice Address - Country:US
Practice Address - Phone:727-344-6060
Practice Address - Fax:727-347-5586
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 98518207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278346100Medicaid
VA190000979Medicare ID - Type Unspecified
FLCY416ZMedicare PIN
FL278346100Medicaid