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
Fax: (754) 206-4332
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750343679 NPPES
Florida MEDICAID 063913300

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