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

Modern Foot and Ankle, PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1003365107

Modern Foot and Ankle, PLLC is a Foot & Ankle Surgery Podiatrist in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1005 Dale Mabry Hwy
Lutz, FL 33548-3021
Phone: (813) 549-5678
Fax: (813) 701-9132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3831 (FL)

Record details

NPI number1003365107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Siegel — Owner · (813) 549-5678
Other names Modern Foot And Ankle
NPI enumeratedSeptember 29, 2016
Last updated in NPPESJuly 12, 2017
Mailing address1005 Dale Mabry Hwy, Lutz, FL 33548-3021

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