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Organization
NINA L. COLETTA DPM
Active
Organization
NINA L. COLETTA DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA L. COLETTA DPM (PRESIDENT/OWNER)
(954) 452-4590
Entity
Organization
Contact information
Practice address
9685 W BROWARD BLVD, PLANTATION, FL 33324-2321
(954) 452-4590
(954) 452-0509
Mailing address
9685 W BROWARD BLVD, PLANTATION, FL 33324-2321
(954) 452-4590
(954) 452-0509
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340238000
—
FL
Enumeration date
06/18/2008
Last updated
04/23/2019
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