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DR. NICOLE C GORTAIRE DPM NPI 1174148613


NPI Information

NPI: 1174148613
Provider Name: DR. NICOLE C GORTAIRE, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
1690 US HIGHWAY 1 S STE C
ST AUGUSTINE, FL
ZIP 32084
Phone: (904) 436-8001
Get Directions

DR. Nicole C Gortaire, DPM is a foot surgery podiatrist in St Augustine, FL with 4 years of experience. DR. Nicole C Gortaire, DPM NPI is 1174148613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2020

The provider's business location address is:

1690 US HIGHWAY 1 S STE C
ST AUGUSTINE, FL
ZIP 32084-024
Phone: (904) 436-8001
Fax: (904) 376-7761

The NPI 1174148613 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/10/2020 and was last updated on 8/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot SurgeryPO4445FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.