Provider Demographics
NPI:1013544428
Name:CIOCI, ANTHONY LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:LOUIS
Last Name:CIOCI
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 1:5011 NW 24TH CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4329
Mailing Address - Country:US
Mailing Address - Phone:561-716-6958
Mailing Address - Fax:
Practice Address - Street 1:5011 NW 24TH CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4329
Practice Address - Country:US
Practice Address - Phone:561-716-6958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program