Provider Demographics
NPI:1437778792
Name:ZENGOTITA, RIGUIN (PHARMD)
Entity type:Individual
Prefix:
First Name:RIGUIN
Middle Name:
Last Name:ZENGOTITA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 FLORIDA 20
Mailing Address - Street 2:
Mailing Address - City:INTERLACHEN
Mailing Address - State:FL
Mailing Address - Zip Code:32148-5140
Mailing Address - Country:US
Mailing Address - Phone:386-684-4914
Mailing Address - Fax:
Practice Address - Street 1:1213 FLORIDA 20
Practice Address - Street 2:
Practice Address - City:FLORIDA
Practice Address - State:FL
Practice Address - Zip Code:32148
Practice Address - Country:US
Practice Address - Phone:386-684-4914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240228183500000X
390200000X
FLPS645001835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program