ANTHONY P. NICOSIA MD LLC
NPI 1043589187
Family Medicine - Geriatric Medicine in Port St Lucie, FL

Active since December 19, 2011
1502 SE HOLIDAY RD, PORT ST LUCIE, FL 34952(772) 332-1757(772) 335-9843 Get Directions Write a Review

NPPES record last updated: March 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthony P. Nicosia Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY P. NICOSIA MD LLC (NPI 1043589187) is a healthcare organization registered as a geriatric medicine in Port St Lucie, Florida and active in the NPI registry since December 2011. The organization lists Anthony Peter Nicosia, President, as its authorized official.

NPPES Registry Identity

NPI1043589187
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameANTHONY P. NICOSIA MD LLC
Location Address1502 SE HOLIDAY RDPort St Lucie, FL 34952-5416
Mailing AddressPo Box 8540Port St Lucie, FL 34985-8540 · (772) 332-1757 · Fax (772) 335-9843
Fax(772) 335-9843
Organization SubpartNo
Authorized OfficialAnthony Peter NicosiaPresident · (772) 332-1757
Enumeration DateDecember 19, 2011
Last NPPES UpdateMarch 31, 2013
NPI 1043589187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
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.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
1502 SE HOLIDAY RD, Port St Lucie, FL 34952

Other Identifiers 6

Medicare UPIND06752FL
OtherP00476573FL · Rrmcr#
Medicare PINU4211ZFL
Medicaid278035600FL
Medicare PINGG037AFL
Other91967FL · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Geriatric Medicine)
1502 SE HOLIDAY RD
PORT SAINT LUCIE, FL 34952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony P. Nicosia MD LLC's NPI number?

The NPI number for Anthony P. Nicosia MD LLC is 1043589187. It was assigned to this organization in the NPPES registry on December 19, 2011.

Where is Anthony P. Nicosia MD LLC located?

Anthony P. Nicosia MD LLC is located at 1502 SE Holiday Rd, Port St Lucie, FL 34952. The listed phone number is (772) 332-1757.

What is Anthony P. Nicosia MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Anthony P. Nicosia MD LLC was last updated on March 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.