Provider Demographics
NPI:1336171263
Name:SCIARRINO, JOHN F (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:SCIARRINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 39209
Mailing Address - Street 2:STE 115
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339
Mailing Address - Country:US
Mailing Address - Phone:954-851-9966
Mailing Address - Fax:954-318-7360
Practice Address - Street 1:5601 N. DIXIE HWY
Practice Address - Street 2:STE 115
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334
Practice Address - Country:US
Practice Address - Phone:954-771-4271
Practice Address - Fax:954-776-5959
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0013790207W00000X
FLME13790207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0881837OtherUNITED HEALTHCARE
93440OtherBCBS
406181703OtherRAILROAD MEDICARE
0038024OtherGHI
4662016OtherAETNA
591932202OtherHUMANA
93440OtherBCBS
4662016OtherAETNA
591932202OtherHUMANA