Doctor Name: | RITA GARULLI CHIDIAC |
NPI Number: | 1508970989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ME43375 |
Business Practice Address: | 2100 Ne 36th St Suite 101 Lighthouse Point, FL - 330647574 |
Business Phone Number: | 9547829771 |
Business Fax Number: | 9549469138 |
Mailing Address: | 2100 Ne 36th St, Suite 101 LIGHTHOUSE POINT |
State: | FL |
Postal Code: | 330647574 |
Phone Number: | 9547829771 |
Fax Number: | 9549469138 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | ME43375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |