Organization
SISSI E COSSIO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LOPEZ (CONSULTANT)
(954) 605-4391
Entity
Organization
Contact information
Practice address
8130 ROYAL PALM BLVD, SUITE 102, CORAL SPRINGS, FL 33065-5703
(954) 510-0285
(954) 510-0286
Mailing address
8130 ROYAL PALM BLVD, SUITE 102, CORAL SPRINGS, FL 33065
(954) 510-0285
(954) 510-0286
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME94631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000861000
—
FL
01
—
91036
BC/BS OF FLA
FL
Enumeration date
06/11/2008
Last updated
09/13/2011
Update your record
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