| Organization Name: | CORTEZ FOOT & ANKLE SPECIALISTS, PA |
| NPI Number: | 1306160783 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD BERKUN (PRESIDENT) |
| Mailing Address: | 8430 Cooper Creek Blvd Suite 101 University Park |
| State: | FL US |
| Postal Code: | 342012016 |
| Phone Number: | 9413609300 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2010 |
| NPI Last Update Date: | 06/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |