Provider Demographics
NPI:1851523328
Name:CRISTIANA G SCRIDON MD PL
Entity Type:Organization
Organization Name:CRISTIANA G SCRIDON MD PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIANA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCRIDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-226-7380
Mailing Address - Street 1:1300 36TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4898
Mailing Address - Country:US
Mailing Address - Phone:772-226-7380
Mailing Address - Fax:772-212-0205
Practice Address - Street 1:1300 36TH ST STE D
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4898
Practice Address - Country:US
Practice Address - Phone:772-226-7380
Practice Address - Fax:772-212-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93767207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty