Healthcare Provider Details

I. General information

NPI: 1629131925
Provider Name (Legal Business Name): SANGITA A GOGATE DO PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 W 20TH AVE 216
HIALEAH FL
33016-5529
US

IV. Provider business mailing address

7150 W 20TH AVE 216
HIALEAH FL
33016-5529
US

V. Phone/Fax

Practice location:
  • Phone: 305-819-1820
  • Fax:
Mailing address:
  • Phone: 305-819-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS6851
License Number StateFL

VIII. Authorized Official

Name: DR. SANGITA A GOGATE
Title or Position: PHYSICIAN
Credential: DO
Phone: 305-819-1820