# MODERN FOOT AND ANKLE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Foot and Ankle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003365107
- **Authorized official:** ADAM SIEGEL DPM (OWNER)
- **Authorized official phone:** (813) 549-5678

## Contact information

- **Practice address:** 1005 DALE MABRY HIGHWAY, LUTZ, FL 33548-3021
- **Practice address phone:** (813) 549-5678
- **Practice address fax:** (813) 701-9132
- **Mailing address:** 1005 DALE MABRY HWY, LUTZ, FL 33548-3021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3831 | FL | Yes |

## Other

- **Enumeration date:** 09/29/2016
- **Last updated:** 07/12/2017