Individual
DR. NICOLE C GORTAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1690 US HIGHWAY 1 S STE C, ST AUGUSTINE, FL 32084-6024
(904) 436-8001
(904) 376-7761
Mailing address
1690 US HIGHWAY 1 S STE C, ST AUGUSTINE, FL 32084-6024
(904) 436-8001
(904) 376-7761
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO4445
FL
Other
Enumeration date
06/10/2020
Last updated
08/03/2023
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