Healthcare Provider Details

I. General information

NPI: 1992173702
Provider Name (Legal Business Name): MICHAEL CIOFFI CAA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2015
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

92 SW 3RD ST APT 2409
MIAMI FL
33130-3089
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-3621
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberAA304
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: