OrganizationActive
Anthony P. Nicosia MD LLC
NPI 1043589187 · Geriatric Medicine (Family Medicine) Physician · Port St Lucie, FL
Provider details
- NPI number
- 1043589187
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Nicosia, President(772) 332-1757
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1502 Se Holiday Rd
Port St Lucie, FL 34952-5416
Phone: (772) 332-1757
Fax: (772) 335-9843
Street-level locationGet directions
Mailing address
Po Box 8540
Port St Lucie, FL 34985-8540
Registry dates
- Enumerated
- 2011-12-19
- Last updated
- 2013-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.