Provider Demographics
NPI:1205943610
Name:GOGATE, SANGITA A (DO)
Entity type:Individual
Prefix:MS
First Name:SANGITA
Middle Name:A
Last Name:GOGATE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 NW 49TH ST STE 125
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3750
Mailing Address - Country:US
Mailing Address - Phone:954-217-3171
Mailing Address - Fax:954-217-3176
Practice Address - Street 1:2300 N COMMERCE PKWY STE 303
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3256
Practice Address - Country:US
Practice Address - Phone:954-217-3171
Practice Address - Fax:954-217-3176
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6851207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL57428OtherBCBS OF FLORIDA
FL57428YMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
FLG91068Medicare UPIN