Healthcare Provider Details

I. General information

NPI: 1467543231
Provider Name (Legal Business Name): JOHN LAWRENCE CIOTTI JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MONTGOMERY AVE
SARASOTA FL
34243-1500
US

IV. Provider business mailing address

512 GUNWALE LN
LONGBOAT KEY FL
34228-3710
US

V. Phone/Fax

Practice location:
  • Phone: 941-259-4544
  • Fax: 941-822-8016
Mailing address:
  • Phone: 228-327-7801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11197
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: