| Gothrig Healthcare Services Llc | |
|
2331 N State Road 7 Ste 207 Lauderdale Lakes FL 33313-3772 | |
| (954) 530-6558 | |
| (954) 769-1576 |
| Full Name | Gothrig Healthcare Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 2331 N State Road 7 Ste 207, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Eglintine Rigaud (PRESIDENT) |
| Authorized Official Contact | 9545306558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gothrig Healthcare Services Llc 2862 Bellarosa Cir Royal Palm Beach FL 33411-1462 Ph: (757) 613-5943 | Gothrig Healthcare Services Llc 2331 N State Road 7 Ste 207 Lauderdale Lakes FL 33313-3772 Ph: (954) 530-6558 |
| NPI Number | 1104485754 |
|---|---|
| Provider Enumeration Date | 06/07/2019 |
| Last Update Date | 06/07/2019 |
| Medicare PECOS PAC ID | 4587992615 |
|---|---|
| Medicare Enrollment ID | O20190827002219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104485754 | NPI | - | NPPES |
| Provider Name | Gardy J Rigaud |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164452033 PECOS PAC ID: 7618244369 Enrollment ID: I20170530002342 |
| Provider Name | Eglintine E.g. Rigaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376963710 PECOS PAC ID: 7113287988 Enrollment ID: I20180216000983 |
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