Provider Demographics
NPI:1992967145
Name:COLAFRANCESCHI, ALEXANDRE SICILIANO (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRE
Middle Name:SICILIANO
Last Name:COLAFRANCESCHI
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 1:855 CENTRAL AVE # TH01
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3645
Mailing Address - Country:US
Mailing Address - Phone:669-388-2238
Mailing Address - Fax:
Practice Address - Street 1:1551 W BAY DR STE 101
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2209
Practice Address - Country:US
Practice Address - Phone:727-587-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME155551208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program