Gangoo, Tricia A

Gangoo, Tricia A is an sole proprietor health care provider with primary practice located at 3116 W Commercial Blvd , Ft Lauderdale FL 33309-3415. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gangoo, Tricia A can be contacted via phone (954) 739-2829.

Contact Information

Primary practice address
3116 W Commercial Blvd Ft Lauderdale FL 33309-3415
Fax: (954) 739-3680
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS29380 Florida

Profile Details

NPI number 1043352511
LBN Legal business name Gangoo, Tricia A
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043352511 NPPES
Florida Other PS29380 STATE LICENSE #

Popular Providers