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Anthony P. Nicosia Md Llc
Geriatric Medicine (Family Medicine) Physician in Port St Lucie, Florida
NPI 1043589187

Anthony P. Nicosia Md Llc is a Geriatric Medicine (Family Medicine) Physician based in Port St Lucie, FL and is specialized in Geriatric Medicine. Anthony P. Nicosia Md Llc practices in Port St Lucie, FL. The NPI Number for Anthony P. Nicosia Md Llc is 1043589187 and holds a License No. (Florida).

The current practice location address for Anthony P. Nicosia Md Llc is 1502 Se Holiday Rd, Port St Lucie, FL and can be reached out via phone at 772-332-1757 and via fax at 772-335-9843.

Location: 1502 Se Holiday Rd, Port St Lucie, FL, 34985-8540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043589187
Provider Name
Anthony P. Nicosia Md Llc
Credential
Provider Entity Type
Organization
Address
1502 Se Holiday Rd, Port St Lucie, FL, 34985-8540
Phone Number
772-332-1757
Fax Number
772-335-9843
Provider Enumeration Date
12/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
278035600 05 FL
91967 01 FL BLUE CROSS
P00476573 01 FL RRMCR#
institution
Provider Business Practice Location Address Details
Address
1502 Se Holiday Rd
City
Port St Lucie
State
Florida
Zip
34952-5416
Phone Number
772-332-1757
Fax Number
772-335-9843
person
Provider Business Mailing Address Details
Address
1502 Se Holiday Rd
City
Port St Lucie
State
Florida
Zip
34952-5416
Phone Number
772-332-1757
Fax Number
772-335-9843
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
()
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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