CHRISTINE M CICCO-BROWN (NPI# 1407899644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407899644 |
Entity Type | Individual |
Full Name | CHRISTINE M CICCO-BROWN |
Credential | DO |
Practice Address |
11715 Rangeland Pkwy Bradenton FL 34211-9529 |
Practice Telephone | 9415380018 |
Practice Fax Number | 9415380019 |
Mailing Telephone | 9415380018 |
Mailing Fax Number | 9415380019 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2020-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
OS10183 | FL | Allopathic & Osteopathic Physicians |
Street Address |
11715 RANGELAND PKWY |
City | BRADENTON |
State | FL |
Zip Code | 34211-9529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174596050 | Robert James Summerlee | Internal Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2006-02-10 |
1508418153 | Francisco Tellechea Rotta | Psychiatry & Neurology | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2019-07-14 |
1740795723 | Kimberly Callow | Nurse Practitioner | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2017-12-12 |
1699137299 | Brian Kyle Melcher | Family Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2016-03-23 |
1275952780 | Taylor Lloyd Dodgen | Dermatology | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2014-04-11 |
1194067520 | Megan Lee Guerrero | Internal Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2013-03-24 |
1659699072 | Deborah Majchel Koss | Internal Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | 2010-05-10 |
1306931209 | Jeffrey Gretz | Internal Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
1457992414 | Center for Home Dialysis At Lakewood Ranch LLC | Clinic/Center | 1939 Worth Court, Lakewood Ranch, FL 34211 | 2019-10-01 |
1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
1326557349 | Fabio Rodriguez | Student in an Organized Health Care Education/Training Program | 5000 Lakewood Ranch Blvd, Bradenton, Fl 34211, Bradenton, FL 34211 | 2017-09-21 |
1972906121 | Linda Michelle Sizler | Social Worker | 5460 Lena Road, Suite 103, Bradenton, FL 34211 | 2014-10-02 |
1972911147 | Cory Matthew Collier | Optometrist | 5489 Lena Rd, Bradenton, FL 34211 | 2014-07-31 |
1184069312 | Cassandra Lucia D'addeo | Marriage & Family Therapist | 5454 Lena Rd Unit 106, Bradenton, FL 34211 | 2013-05-01 |
1073764338 | Lyndsey K Nalu | Audiologist | 11041 Gatewood Dr, Lakewood Ranch, FL 34211 | 2008-10-06 |
1245412451 | Richard A Saladino | Clinic/Center | 11009 Gatewood Dr, #103, Bradenton, FL 34211 | 2007-11-29 |
1568528461 | Yusef Cornel Barnes | Chiropractor | 1859 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2006-12-28 |
Find all providers in zip 34211 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
1205362183 | Clifton Bridges | Otolaryngology | 6970 Sunnyside Dr, Leesburg, FL 34748-9556 | 2017-05-11 |
1811305568 | Medney Tardy Jr. | Otolaryngology | 651 Jacana Cir, Naples, FL 34105-7400 | 2014-07-25 |
1699113605 | Lebeau Clinic Pl | Otolaryngology | 1020 N Palafox St, Pensacola, FL 32501-3118 | 2013-06-12 |
1164867644 | Joseph Samuel Moak IIi | Otolaryngology | 1819 Salk Ave, Tavares, FL 32778-4311 | 2013-05-09 |
1750661328 | Jesse Andrew Burnam | Otolaryngology | 15647 Carriedale Ln, Fort Myers, FL 33912-3904 | 2011-08-26 |
1619276102 | Thomas Lewis Tzikas | Otolaryngology | 526 Se 5th Ave, Delray Beach, FL 33483-5213 | 2011-03-23 |
1356595268 | Vijay M Sharma | Otolaryngology | 601 University Blvd Ste 201, Jupiter, FL 33458-2788 | 2008-11-05 |
1881846731 | Anthony Bared | Otolaryngology | 6280 Sunset Dr Ste 504, South Miami, FL 33143-4870 | 2008-10-22 |
1700034345 | Larry Nelson Smith | Otolaryngology | 10925 Sw 27th Ave, Gainesville, FL 32608-8937 | 2008-09-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.