| Doctor Name: | DR. DOMINIC R RIGANOTTI |
| NPI Number: | 1063497600 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS8724 |
| Business Practice Address: | 1881 Ne 26th St Suite 60 Wilton Manors, FL - 333051416 |
| Business Phone Number: | 7542062031 |
| Business Fax Number: | 7542062032 |
| Mailing Address: | 1881 Ne 26th St, Suite 60 WILTON MANORS |
| State: | FL |
| Postal Code: | 333051416 |
| Phone Number: | 7542062031 |
| Fax Number: | 7542062032 |
| NPI Enumeration Date: | 12/07/2005 |
| NPI Last Update Date: | 06/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | OS8724 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |