MEDICARE: LUCILLE GOTTSHALK

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	251E00000X	Home Health Agency	233696	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	:	1992152516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCILLE GOTTSHALK

Provider Business Mailing Address
First Line	:	12222 191ST ST
Second Line	:
City	:	SPRINGFIELD GARDENS
State	:	NY
Zip	:	11413-1055
Country	:	US
Telephone Number	:	646-248-8494
Fax Number	:

Provider Business Practice Location Address
First Line	:	3071 SW 2ND ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1207
Country	:	US
Telephone Number	:	646-248-8494
Fax Number	:

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

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	05/24/2016

Similar Medicare Providers

1235244575 — FLORIDA OCCUPATIONAL PHYSICAL THERAPY, INC.
Practice Location Address:

3405 NW 9TH AVE , SUITE 1207
FORT LAUDERDALE, FL
33309-5943

Practice Phone: 954-390-7245
Practice Fax: 954-390-6167

1083725675 — DR. MARY A. CENTRONE PH.D.
Practice Location Address:

619 SE 9TH ST
FORT LAUDERDALE, FL
33316-1207

Practice Phone: 954-675-6892
Practice Fax: 954-793-4651

1376743005 — BARBARA A SMITH LCSW
Practice Location Address:

900 NE 18TH AVE , #1207
FORT LAUDERDALE, FL
33304-3063

Practice Phone: 855-241-7160
Practice Fax:

1407153885 — AGENCY OF CHANGE
Practice Location Address:

900 NE 18TH AVE , 1207
FORT LAUDERDALE, FL
33304-3063

Practice Phone: 954-524-6861
Practice Fax:

1245588441 — BLUE MOON SENIOR COUNSELING, LLC.
Practice Location Address:

900 NE 18TH AVE APT 1207
FORT LAUDERDALE, FL
33304-3054

Practice Phone: 630-844-7077
Practice Fax:

1609275874 — MRS. CATHERINE HUYNH LCSW
Practice Location Address:

900 NE 18TH AVE , 1207
FORT LAUDERDALE, FL
33304-3063

Practice Phone: 561-247-1688
Practice Fax: 954-324-8354

Directions to “ LUCILLE GOTTSHALK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.