Anthony M Magliocco, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

ME110468 Issued in FL

Practice address

6555 Sanger Rd Ste 260
Orlando, FL 32827-7686

Phone

(754) 242-9682

NPI assigned

Jul 11, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1558659649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7573 LAUREATE BLVD UNIT 1307",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277826",
            "telephone_number": "813-817-2042",
            "fax_number": "813-694-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 SANGER RD STE 260",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277686",
            "telephone_number": "754-242-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIOCCO",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME110468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magic Medical Group Inc.
• Magic Medical Specialties Corp
• Magic Star Behavioral Group
• Magig Kingdom Kids Services LLC
• Sarah Maginnis, LCSW
• Max Magnasco, MED LMHC
• Erik Albert Magnuson, COTA
• Justin A Magnuson, MD
• Ryan Magnuson
• Joshua Mago

• Anatomic Pathology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Anatomic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.