Active NPI
Gothrig Healthcare Services LLC
- General Practice Physician
- Lauderdale Lakes, FL
National Provider Identifier
1104485754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- GOTHRIG HEALTHCARE SERVICES LLC
- Practice address
- 2331 N State Road 7 Ste 207
Lauderdale Lakes, FL 33313-3772 - Phone
- (954) 530-6558
- Fax
- (954) 769-1576
- NPI assigned
- Jun 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eglintine Rigaud, APRN, PHD
- Title
- President
- Phone
- (954) 530-6558
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
2331 N State Road 7 Ste 207
Lauderdale Lakes, FL 33313-3772
Mailing address
2862 Bellarosa Cir
Royal Palm Beach, FL 33411-1462
Phone (757) 613-5943
National Provider Directory
National Provider DirectoryLocations
2331 N State Road 7
Ste 207
Lauderdale Lakes, FL 33313
Phone (954) 530-6558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559865600000",
"number": "1104485754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2862 BELLAROSA CIR",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111462",
"telephone_number": "757-613-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 N STATE ROAD 7 STE 207",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333133772",
"telephone_number": "954-530-6558",
"fax_number": "954-769-1576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOTHRIG HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-07",
"last_updated": "2019-06-07",
"status": "A",
"authorized_official_last_name": "RIGAUD",
"authorized_official_first_name": "EGLINTINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-530-6558",
"authorized_official_credential": "APRN, PHD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.