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Organization
ALL PODIATRY GROUP INC
Active
Organization
ALL PODIATRY GROUP INC
Active
Other names
Evolve Health
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM JACOB SIEGEL (CRO)
(813) 549-5678
Entity
Organization
Contact information
Practice address
15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787-5773
(407) 605-2321
(407) 671-4155
Mailing address
15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787-5773
(813) 400-1119
(813) 701-9132
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162337800
DEPT. OF LABOR
FL
05
—
390408300
—
FL
01
—
40483
BLUE CROSS BLUE SHIELD
FL
01
—
6201906
GHI
FL
01
—
CG1740
RAILROAD MEDICARE
FL
Enumeration date
01/08/2007
Last updated
07/30/2026
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