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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
01/07/2026
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