Provider Demographics
NPI:1215937669
Name:SCAVINO, HUGO FERNAN (MD)
Entity type:Individual
Prefix:
First Name:HUGO
Middle Name:FERNAN
Last Name:SCAVINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 9TH AVE N
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-6216
Mailing Address - Country:US
Mailing Address - Phone:727-381-8001
Mailing Address - Fax:727-344-1673
Practice Address - Street 1:6560 9TH AVE N
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6216
Practice Address - Country:US
Practice Address - Phone:727-381-8001
Practice Address - Fax:727-344-1673
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME20967204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine