Cianciolo, Kirk Dominic
Cianciolo, Kirk Dominic is an individual health care provider with primary practice located at 12464 Indian Rocks Rd , Largo FL 33774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cianciolo, Kirk Dominic can be contacted via phone (727) 596-5446.Contact Information
Primary practice address
12464 Indian Rocks Rd
Largo FL 33774
Phone: (727) 596-5446
Fax: (727) 593-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 03552 | Kentucky |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | OS0004645 | Florida |
Profile Details
| NPI number | 1780933127 |
|---|---|
| LBN Legal business name | Cianciolo, Kirk Dominic |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2012 |
| Last updated | Nov 8th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780933127 | NPPES |
| Florida | Other | 3972115 | CIGNA |
| Florida | Other | 211521 | CIGNA |
| Florida | MEDICAID | 017137800 | CIGNA |
| Florida | Other | JTNOA | CIGNA |
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