person
Dr. Colette Tara D'altilio, DPM
Foot & Ankle Surgery Podiatrist in Lighthouse Point, Florida
NPI 1740251008

Colette Tara D'altilio is a Foot & Ankle Surgery Podiatrist based in Lighthouse Point, FL and is specialized in Foot & Ankle Surgery. Colette Tara D'altilio practices in Lighthouse Point, FL and has the professional credentials of DPM. The NPI Number for Colette Tara D'altilio is 1740251008 and holds a License No. PO 3030 (Florida).

The current practice location address for Colette Tara D'altilio is 2100 E Sample Rd, Lighthouse Point, FL and can be reached out via phone at 954-933-9033 and via fax at 954-934-0060.

Location: 2100 E Sample Rd, Lighthouse Point, FL, 33064-7596
person
Provider Profile Details
NPI Number
1740251008
Provider Name
Colette Tara D'altilio
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
2100 E Sample Rd, Lighthouse Point, FL, 33064-7596
Phone Number
954-933-9033
Fax Number
954-934-0060
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3405150-00 05 FL
institution
Provider Business Practice Location Address Details
Address
2100 E Sample Rd
City
State
Zip
33064-7574
Phone Number
954-933-9033
Fax Number
954-934-0060
person
Provider Business Mailing Address Details
Address
2100 E Sample Rd
City
State
Zip
33064-7574
Phone Number
954-933-9033
Fax Number
954-934-0060
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO 3030 (Florida)
Definition
Definition to come...
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