Provider Demographics
NPI:1780885285
Name:KOCI, FLORIAN (MD)
Entity type:Individual
Prefix:MR
First Name:FLORIAN
Middle Name:
Last Name:KOCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:68 CUMBERLAND ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3300
Mailing Address - Country:US
Mailing Address - Phone:401-464-9751
Mailing Address - Fax:401-437-6744
Practice Address - Street 1:68 CUMBERLAND ST
Practice Address - Street 2:SUITE 103
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3300
Practice Address - Country:US
Practice Address - Phone:401-464-9751
Practice Address - Fax:401-437-6744
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD15256207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1780885285Medicaid
RIU400327930Medicare UPIN