# NJC FOOT & ANKLE SURGICAL SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NJC FOOT & ANKLE SURGICAL SPECIALISTS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649775065
- **Authorized official:** DR. NICHOLAS JOSEPH CORETTI III DPM (OWNER/PODIATRISTS)
- **Authorized official phone:** (609) 506-8362

## Contact information

- **Practice address:** 2951 NW 49TH AVE STE 201, LAUDERDALE LAKES, FL 33313-1608
- **Practice address phone:** (305) 712-6395
- **Practice address fax:** (305) 630-8590
- **Mailing address:** 15773 NW 3RD ST, PEMBROKE PINES, FL 33028-1588
- **Mailing address phone:** (609) 506-8362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2018
- **Last updated:** 06/20/2022