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Organization
MODERN FOOT AND ANKLE, PLLC
Active
Organization
MODERN FOOT AND ANKLE, PLLC
Active
Other names
Modern Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM SIEGEL DPM (OWNER)
(813) 549-5678
Entity
Organization
Contact information
Practice address
1005 DALE MABRY HIGHWAY, LUTZ, FL 33548-3021
(813) 549-5678
(813) 701-9132
Mailing address
1005 DALE MABRY HWY, LUTZ, FL 33548-3021
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3831
FL
Other
Enumeration date
09/29/2016
Last updated
07/12/2017
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