Healthcare Provider Details

I. General information

NPI: 1407891781
Provider Name (Legal Business Name): ANTHONY MINIACI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 MEADOWS RD STE 200
BOCA RATON FL
33486-2324
US

IV. Provider business mailing address

1001 NW 13TH ST STE 201
BOCA RATON FL
33486-2269
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-6784
  • Fax: 833-973-6443
Mailing address:
  • Phone: 561-955-6663
  • Fax: 561-955-2878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME122586
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: