NPI 1003365107
Modern Foot and Ankle, PLLC
Practice location
- Address
- 1005 Dale Mabry Highway, Lutz, FL 33548-3021
- Phone
- (813) 549-5678
- Fax
- (813) 701-9132
- Mailing address
- 1005 Dale Mabry Hwy, Lutz, FL 33548-3021
Authorised official
- Name
- Adam Siegel
- Title
- Owner
- Phone
- (813) 549-5678
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1003365107
- Entity type
- Organization
- NPI issued
- 29 Sep 2016
- Record last updated
- 12 Jul 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.