Provider Demographics
NPI:1093452609
Name:ADAMO, CIRO ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:CIRO
Middle Name:ANTHONY
Last Name:ADAMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5601 CORPORATE WAY STE 307
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2043
Mailing Address - Country:US
Mailing Address - Phone:561-686-0506
Mailing Address - Fax:561-687-5601
Practice Address - Street 1:5601 CORPORATE WAY STE 307
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2043
Practice Address - Country:US
Practice Address - Phone:561-686-0506
Practice Address - Fax:561-687-5601
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-16
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1565632085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME156563OtherFLORDIA STATE MEDICAL LICENSE