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Modern Foot And Ankle, Pllc
Foot & Ankle Surgery Podiatrist in Lutz, Florida
NPI 1003365107

Modern Foot And Ankle, Pllc is a Foot & Ankle Surgery Podiatrist based in Lutz, FL and is specialized in Foot & Ankle Surgery. Modern Foot And Ankle, Pllc practices in Lutz, FL. The NPI Number for Modern Foot And Ankle, Pllc is 1003365107 and holds a License No. PO3831 (Florida).

The current practice location address for Modern Foot And Ankle, Pllc is 1005 Dale Mabry Highway, Lutz, FL and can be reached out via phone at 813-549-5678 and via fax at 813-701-9132.

Location: 1005 Dale Mabry Highway, Lutz, FL, 33548-3021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003365107
Provider Name
Modern Foot And Ankle, Pllc
Credential
Provider Entity Type
Organization
Address
1005 Dale Mabry Highway, Lutz, FL, 33548-3021
Phone Number
813-549-5678
Fax Number
813-701-9132
Provider Enumeration Date
09/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019557100 05 FL
institution
Provider Business Practice Location Address Details
Address
1005 Dale Mabry Highway
City
Lutz
State
Florida
Zip
33548-3021
Phone Number
813-549-5678
Fax Number
813-701-9132
person
Provider Business Mailing Address Details
Address
1005 Dale Mabry Highway
City
Lutz
State
Florida
Zip
33548-3021
Phone Number
813-549-5678
Fax Number
813-701-9132
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO3831 (Florida)
Definition
Definition to come...
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