Healthcare Provider Details

I. General information

NPI: 1013544428
Provider Name (Legal Business Name): ANTHONY LOUIS CIOCI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W SAMPLE RD STE 208
DEERFIELD BEACH FL
33064-3547
US

IV. Provider business mailing address

1608 SE 3RD AVE FL 3
FORT LAUDERDALE FL
33316-2564
US

V. Phone/Fax

Practice location:
  • Phone: 954-946-2570
  • Fax: 954-946-2568
Mailing address:
  • Phone: 954-786-6415
  • Fax: 954-888-3515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME178676
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: