MEDICARE: DR. PETER RIGA D.O.

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	207P00000X	Emergency Medicine Physician	250919	NY
2	207P00000X	Emergency Medicine Physician	OS10944	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972589893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER RIGA D.O.

Provider Business Mailing Address
First Line	:	298 S YONGE ST
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-6264
Country	:	US
Telephone Number	:	386-274-7800
Fax Number	:	386-274-7841

Provider Business Practice Location Address
First Line	:	401 PALMETTO ST
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7322
Country	:	US
Telephone Number	:	386-424-5221
Fax Number	:	386-424-5003

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	01/27/2016

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Directions to “ DR. PETER RIGA D.O.” Practice Location

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