Individual provider · NPI-1
Michael Cortelli, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Hollywood, FL
NPI number1073594677
StatusActive
Last updated in NPPESMar 15, 2021
Details
- NPI
- 1073594677
- Entity type
- Individual (NPI-1)
- Name
- Michael Cortelli
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2005
- Certification date
- Mar 15, 2021
- Last updated
- Mar 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME70715 | FL | Yes |
Practice location
1150 N 35th AveSuite 440
Hollywood, FL 33021
Phone 954-986-6356 · Fax 954-985-5154
Mailing address
2900 Corporate WayDoor D
Miramar, FL 33025-3925
Phone 954-276-5685 · Fax 954-985-7074
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