Provider Demographics
NPI:1164452033
Name:RIGAUD, GARDY J (MD)
Entity Type:Individual
Prefix:DR
First Name:GARDY
Middle Name:J
Last Name:RIGAUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 E SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-5120
Mailing Address - Country:US
Mailing Address - Phone:954-545-1370
Mailing Address - Fax:954-545-1371
Practice Address - Street 1:1008 E SAMPLE RD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-5120
Practice Address - Country:US
Practice Address - Phone:954-545-1370
Practice Address - Fax:954-545-1371
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0156892084P0800X
FLACN 753208D00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry