Healthcare Provider Details
I. General information
NPI: 1710273552
Provider Name (Legal Business Name): COLBY LAUREN STEGALL DAY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/20/2011
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
653-1 W 8TH ST # L-16
JACKSONVILLE FL
32209-6511
US
IV. Provider business mailing address
PO BOX 44008
JACKSONVILLE FL
32231-4008
US
V. Phone/Fax
- Phone: 904-244-3050
- Fax: 904-244-3050
- Phone: 904-244-3050
- Fax: 904-244-3028
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | ME132191 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | ME132191 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: