Provider Demographics
NPI:1790397875
Name:RIGAUD, GESSY
Entity Type:Individual
Prefix:
First Name:GESSY
Middle Name:
Last Name:RIGAUD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 SW 41ST ST APT 115
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6988
Mailing Address - Country:US
Mailing Address - Phone:786-278-9069
Mailing Address - Fax:561-621-4336
Practice Address - Street 1:5100 SW 41ST ST APT 115
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-6988
Practice Address - Country:US
Practice Address - Phone:786-278-9069
Practice Address - Fax:561-621-4336
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier