| NPI | 1003365107 |
|---|---|
| Doing Business As | MODERN FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | ADAM SIEGEL Owner 813-549-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3831) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2017-07-12 |