Organization
AGOO HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE MAYER DE ROTHSMAN (CEO)
(888) 929-2327
Entity
Organization
Contact information
Practice address
3601 W COMMERCIAL BLVD STE 14, FORT LAUDERDALE, FL 33309-3320
(888) 929-2327
Mailing address
2221 NE 164TH ST STE 296, AVENTURA, FL 33160-3703
(888) 929-2327
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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