Healthcare Provider Details

I. General information

NPI: 1285931386
Provider Name (Legal Business Name): CIOCCA DERMATOLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 SW 97TH AVE STE 101
MIAMI FL
33173-1406
US

IV. Provider business mailing address

7001 SW 97TH AVE STE 101
MIAMI FL
33173-1406
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 Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME95594
License Number StateFL

VIII. Authorized Official

Name: GIOVANNA CIOCCA
Title or Position: OWNER
Credential: MD
Phone: 305-273-7998