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NPI Code Detail

MEDICARE: NJC FOOT & ANKLE SURGICAL SPECIALISTS

MEDICARE: NJC FOOT & ANKLE SURGICAL SPECIALISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649775065
Entity Type Code : Organization
Provider Name (Legal Business Name) : NJC FOOT & ANKLE SURGICAL SPECIALISTS
Provider Business Mailing Address
First Line : 15773 NW 3RD ST
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1588
Country : US
Telephone Number : 609-506-8362
Fax Number :
Provider Business Practice Location Address
First Line : 2951 NW 49TH AVE STE 201
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1608
Country : US
Telephone Number : 305-712-6395
Fax Number : 305-630-8590
Authorized Official
Title or Position : OWNER/PODIATRISTS
Name : DR. NICHOLAS JOSEPH CORETTI III
Credential : DPM
Telephone Number : 609-506-8362
Provider Enumeration Date : 03/27/2018
Last Update Date : 06/20/2022

Similar Medicare Providers

1114908373 — REGINA B PORTNOVA M.D.
Practice Location Address:
2951 NW 49TH AVE , SUITE 201
LAUDERDALE LAKES, FL
33313-1608
Practice Phone: 945-486-5700
Practice Fax: 954-484-2574
1235500422 — DR. NICHOLAS JOSEPH CORETTI III DPM
Practice Location Address:
2951 NW 49TH AVE STE 201
LAUDERDALE LAKES, FL
33313-1608
Practice Phone: 954-486-5700
Practice Fax: 954-484-2574
1245743251 — RALPH M ZAGHA MD PA
Practice Location Address:
2951 NW 49TH AVE STE 205
LAUD LAKES, FL
33313-1608
Practice Phone: 954-652-0246
Practice Fax: 954-652-0471
1235642240 — STACY FRANKEL MD PA
Practice Location Address:
2951 NW 49TH AVE STE 205
LAUD LAKES, FL
33313-1608
Practice Phone: 954-652-0246
Practice Fax: 954-652-0471
1174024798 — JOEL FRANKEL MD PA
Practice Location Address:
2951 NW 49TH AVE STE 202
LAUDERDALE LAKES, FL
33313-1608
Practice Phone: 954-486-1250
Practice Fax: 954-486-6736
1760967012 — STEPHANIE LEAVITT APRN
Practice Location Address:
2951 NW 49TH AVE STE 202
LAUDERDALE LAKES, FL
33313-1608
Practice Phone: 954-486-1250
Practice Fax: 954-486-6736

Directions to “NJC FOOT & ANKLE SURGICAL SPECIALISTS ” Practice Location

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