Gortaire, Nicole C
Gortaire, Nicole C is an individual health care provider with primary practice located at 1690 Us Highway 1 S Ste C , St Augustine FL 32084-6024. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Gortaire, Nicole C can be contacted via phone (904) 436-8001.Contact Information
Primary practice address
1690 Us Highway 1 S Ste C
St Augustine FL 32084-6024
Phone: (904) 436-8001
Fax: (904) 376-7761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO4445 | Florida |
Profile Details
| NPI number | 1174148613 |
|---|---|
| LBN Legal business name | Gortaire, Nicole C |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2020 |
| Last updated | Aug 3rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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