Cynthia Wigutow Rd LLC

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

Legal business name

CYNTHIA WIGUTOW RD LLC

Practice address

1150 N 35TH Ave
Suite 170
Hollywood, FL 33021-5424

Phone

(954) 265-7028

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Cynthia Wigutow, MS, RDN, CSO, LDN

Title

Dietitian

Phone

(954) 614-5971

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1508229436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 N 31ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 170",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-265-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA WIGUTOW RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "WIGUTOW",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "954-614-5971",
        "authorized_official_credential": "MS, RDN, CSO, LDN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oncology Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Oncology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.