DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANTHONY PETER NICOSIA, M.D.

Active Sole Proprietor

DR. ANTHONY PETER NICOSIA, M.D. is a Geriatric Medicine healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1396820668 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · PORT SAINT LUCIE, FL

Registration Details

NPI Number
1396820668
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2006 (19.82094157992 yrs)
Last Updated
Oct 27, 2016
Licenses
ME91689 (FL)
ME91689 (FL)
ME91689 (FL)
ME91689 (FL)
Sole Proprietor
Yes

Practice Information

Address
1502 SE HOLIDAY RD
PORT SAINT LUCIE, FL, 349525416
Browse FL providers · Browse ZIP 34952
Phone
7723321757
Fax
7727773044
Primary Specialty
Geriatric Medicine
207QG0300X
Additional Specialty
Addiction Medicine
Additional Specialty
Adolescent Medicine
Additional Specialty
Geriatric Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.