Healthcare Provider Details

I. General information

NPI: 1306305628
Provider Name (Legal Business Name): DANIEL CHRISTOPHER SPRANDO MDD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2019
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N STE 101
NAPLES FL
34102-5886
US

IV. Provider business mailing address

16255 ALLURA CIR UNIT 3204
NAPLES FL
34110-9322
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-4200
  • Fax: 239-624-4241
Mailing address:
  • Phone: 724-986-7714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number2024-01730
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME183559
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: