Rita Garulli Chidiac

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

ME43375 Issued in FL

Practice address

601 E Sample Rd Ste 103
Deerfield Beach, FL 33064-4443

Phone

(954) 812-0043

Fax

(954) 366-6851

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

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.

• Adib Antoine Chidiac, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Deerfield Beach, FL
  • NPI 1215057922
  NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1508970989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 NE 31ST AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648431",
            "telephone_number": "954-812-0043",
            "fax_number": "954-366-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-812-0043",
            "fax_number": "954-366-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARULLI CHIDIAC",
        "first_name": "RITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME43375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046637900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Racquel Garcia
• Roseanne Helene Garcia
• William Gaston Garcia
• Jushonna Gardener
• Christina Garside
• Bianca Gasca
• Sierra Gasch
• Heather Gashette
• Vanessa Gaspar, PTA
• Jamie Gaudet

• Adolescent Medicine (Family Medicine) Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Adolescent Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.