| NPI | 1437207933 |
|---|---|
| Doing Business As | MODERN FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | JESSICA TITUS Credentialing Coordinator 813-400-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP0504X Podiatrist, Public Medicine | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO774) | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-02-19 |