Provider Demographics
NPI:1609826825
Name:CILIBERTI, ERIC FERDINAND (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:FERDINAND
Last Name:CILIBERTI
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 1:17839 MONTE VISTA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1057
Mailing Address - Country:US
Mailing Address - Phone:954-604-3331
Mailing Address - Fax:954-318-7360
Practice Address - Street 1:8051 W. SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-3118
Practice Address - Country:US
Practice Address - Phone:954-474-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86015207W00000X, 207WX0109X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016516600Medicaid
FLH82183Medicare UPIN
78749Medicare PIN
FLH82183Medicare UPIN
FL267586200Medicaid