D'Altilio, Colette Tara

D'Altilio, Colette Tara is an individual health care provider with primary practice located at 2100 E Sample Rd Suite 203, Lighthouse Point FL 33064-7574. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. D'Altilio, Colette Tara can be contacted via phone (954) 933-9033.

Contact Information

Primary practice address
2100 E Sample Rd Suite 203 Lighthouse Point FL 33064-7574
Phone: (954) 933-9033
Fax: (954) 934-0060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3030 Florida

Profile Details

NPI number 1740251008
LBN Legal business name D'Altilio, Colette Tara
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740251008 NPPES
Florida MEDICAID 3405150-00

Popular Providers