MEDICARE: CGOTINC.

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	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OT16936	OTHER	FL	OCCUPATIONAL THERAPIST

General Provider Information

NPI Number	:	1831071117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CGOTINC.

Provider Business Mailing Address
First Line	:	2539 TAYLOR ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4321
Country	:	US
Telephone Number	:	754-215-9836
Fax Number	:

Provider Business Practice Location Address
First Line	:	2539 TAYLOR ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4321
Country	:	US
Telephone Number	:	754-215-9836
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CHRISTINA I GOBEL
Credential	:	OTR/L
Telephone Number	:	754-215-9836

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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Directions to “CGOTINC. ” Practice Location

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