Ciocon, Jerry O
Ciocon, Jerry O is an sole proprietor health care provider with primary practice located at 320 S State Road 7 Suite 300, Plantation FL 33317-3717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ciocon, Jerry O can be contacted via phone (954) 451-3241.Contact Information
Primary practice address
320 S State Road 7 Suite 300
Plantation FL 33317-3717
Phone: (954) 451-3241
Fax: (754) 206-4332
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME0054854 | Florida |
Profile Details
NPI number | 1750343679 |
---|---|
LBN Legal business name | Ciocon, Jerry O |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 5th, 2006 |
Last updated | Jan 5th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750343679 | NPPES |
Florida | MEDICAID | 063913300 |
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