Healthcare Provider Details

I. General information

NPI: 1285689232
Provider Name (Legal Business Name): GIOVANNA CIOCCA M.D,F.A.A.P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GIOVANNA RODRIGUEZ M.D,F.A.A.P

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 SW 97TH AVE STE 101
MIAMI FL
33173-1407
US

IV. Provider business mailing address

7001 SW 97TH AVE STE 101
MIAMI FL
33173-1407
US

V. Phone/Fax

Practice location:
  • Phone: 305-273-7998
  • Fax: 305-273-7275
Mailing address:
  • Phone: 305-273-7998
  • Fax: 305-273-7275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License NumberME95594
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME95594
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME95594
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: