Organization · Type 2 NPI
Modern Foot and Ankle, PLLC
Foot & Ankle Surgery Podiatrist · Lutz, FL
NPI number
1003365107
Active
Practice location
1005 Dale Mabry Highway
Lutz, FL 33548-3021
Fax (813) 701-9132
Mailing address
1005 Dale Mabry Hwy
Lutz, FL 33548-3021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO3831 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Lutz
About NPI 1003365107
Modern Foot and Ankle, PLLC's National Provider Identifier is 1003365107, issued on Sep 29, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lutz, FL. The record was last updated on Jul 12, 2017.