MEDICARE: RIGOBERT DEPETIT LAMY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	003023	PR

General Provider Information

NPI Number	:	1578493888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIGOBERT DEPETIT LAMY

Provider Business Mailing Address
First Line	:	118 HIDDEN COURT RD # R307
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-7468
Country	:	US
Telephone Number	:	786-260-1592
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 HIDDEN COURT RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-7468
Country	:	US
Telephone Number	:	786-260-1592
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ RIGOBERT DEPETIT LAMY ” Practice Location

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