Individual provider Active NPI

Enrique M Ciklik, MD

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1205894086
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME61509 Issued in FL
Practice address
2131 Hollywood Blvd Ste 101
Hollywood, FL 33020-6728
Phone
(305) 792-0555
Fax
(305) 792-0557
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME61509 FL Primary

Addresses

Primary practice location

2131 Hollywood Blvd Ste 101
Hollywood, FL 33020-6728

Mailing address

2131 Hollywood Blvd Ste 101
Hollywood, FL 33020-6728
Phone (305) 792-0555

Other identifiers 1

IdentifierTypeStateIssuer
371548500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000339 FL Practitioner - General PracticePractitioner - Internal Medicine 8729136411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soffer Heart Institute PAGroup PAC ID 9133279490, 11 clinicians

Practice addresses (Care Compare)

2131 Hollywood Blvd
Suite 101
Hollywood, FL 33020-6728
Phone (305) 792-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME61509FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soffer Heart Institute PA CurrentSince Oct 1, 2024 Accepting new patients

Locations

2131 Hollywood Blvd
Ste 101
Hollywood, FL 33020
Phone 30527355114002

2300 W 84th St
Ste 501
Miami Lakes, FL 33016
Phone (305) 273-5511

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8919/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1205894086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 HOLLYWOOD BLVD STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206728",
            "telephone_number": "305-792-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 HOLLYWOOD BLVD STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206728",
            "telephone_number": "305-792-0555",
            "fax_number": "305-792-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIKLIK",
        "first_name": "ENRIQUE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME61509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371548500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.