Provider Demographics
NPI:1285689232
Name:CIOCCA, GIOVANNA (MD,FAAP)
Entity Type:Individual
Prefix:
First Name:GIOVANNA
Middle Name:
Last Name:CIOCCA
Suffix:
Gender:F
Credentials:MD,FAAP
Other - Prefix:
Other - First Name:GIOVANNA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,FAAP
Mailing Address - Street 1:7001 SW 97TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1407
Mailing Address - Country:US
Mailing Address - Phone:305-273-7998
Mailing Address - Fax:305-273-7275
Practice Address - Street 1:7001 SW 97TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1407
Practice Address - Country:US
Practice Address - Phone:305-273-7998
Practice Address - Fax:305-273-7275
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95594207NP0225X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric DermatologyGroup - Single Specialty