Organization
NJC FOOT & ANKLE SURGICAL SPECIALISTS
Active
Other names
NJC FOOT & ANKLE SURGICAL SPECIALISTS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JOSEPH CORETTI III DPM (OWNER/PODIATRISTS)
(609) 506-8362
Entity
Organization
Contact information
Practice address
2951 NW 49TH AVE STE 201, LAUDERDALE LAKES, FL 33313-1608
(305) 712-6395
(305) 630-8590
Mailing address
15773 NW 3RD ST, PEMBROKE PINES, FL 33028-1588
(609) 506-8362
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103268900
—
FL
Enumeration date
03/27/2018
Last updated
06/20/2022
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