Organization
INNOVATIVE FOOT AND ANKLE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ALLEN TOOTLE DPM (PODIATRIST, PROVIDER)
(352) 562-7590
Entity
Organization
Contact information
Practice address
3900 LAKE CENTER DR STE A1, MOUNT DORA, FL 32757-2203
(352) 562-7590
(352) 663-8530
Mailing address
PO BOX 770754, WINTER GARDEN, FL 34777-0754
(352) 744-6290
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/04/2024
Last updated
02/25/2025
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