Lighthouse Foot & Ankle Center
NPI #1508056326 in Lighthouse Pt, Florida
Provider Information
- NPI Number
- 1508056326
- Entity Type
- Organization
- Organization Name
- Lighthouse Foot & Ankle Center
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Jul 27, 2007
- Last Updated
- Jul 22, 2009
Practice Location
- Address
- 2100 NE 36TH ST
- Address 2
- SUITE 203
- City
- Lighthouse Pt
- State
- Florida
- ZIP Code
- 33064-7574
- Phone
- (954) 933-9033
Authorized Official
- Name
- DR. COLETTE TARA D'ALTILIO, D.P.M.
- Title
- MANAGEING MEMBER
- Phone
- (954) 933-9033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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