Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Foot and Ankle Specialists PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1457197873

Innovative Foot and Ankle Specialists PLLC is a Foot & Ankle Surgery Podiatrist in Mount Dora, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3900 Lake Center Dr Ste A1
Mount Dora, FL 32757-2203
Phone: (352) 562-7590
Fax: (352) 663-8530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1457197873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Tootle — Podiatrist, Provider · (352) 562-7590
NPI enumeratedJuly 4, 2024
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing addressPo Box 770754, Winter Garden, FL 34777-0754

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