IndividualActive
Anthony Nicosia, M.D.
NPI 1396820668 · Geriatric Medicine (Family Medicine) Physician · Port Saint Lucie, FL
Provider details
- NPI number
- 1396820668
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME91689 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1502 Se Holiday Rd
Port Saint Lucie, FL 34952-5416
Phone: (772) 332-1757
Fax: (772) 777-3044
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8540
Port Saint Lucie, FL 34985-8540
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2016-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.