Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE C GORTAIRE, DPM
ActiveDR. NICOLE C GORTAIRE, DPM is a Foot Surgery Podiatrist healthcare provider located in ST AUGUSTINE, Florida. NPI 1174148613 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1174148613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2020 (6.2208723472076 yrs)
- Last Updated
- Aug 3, 2023
- License
-
PO4445 (FL)
Practice Information
- Address
-
1690 US HIGHWAY 1 S STE CST AUGUSTINE, FL, 320846024Browse FL providers · Browse ZIP 32084
- Phone
- 9044368001
- Fax
- 9043767761
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
Other Foot Surgery Podiatrist Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| ROMAN IVANKIV | — | 1528517331 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.