Innovative Foot and Ankle Specialists Pllc
NPI #1457197873 in Mount Dora, Florida
Provider Information
- NPI Number
- 1457197873
- Entity Type
- Organization
- Organization Name
- Innovative Foot and Ankle Specialists Pllc
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Jul 4, 2024
- Last Updated
- Feb 25, 2025
Practice Location
- Address
- 3900 LAKE CENTER DR STE A1
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2203
- Phone
- (352) 562-7590
Authorized Official
- Name
- DR. KEVIN ALLEN TOOTLE, DPM
- Title
- PODIATRIST, PROVIDER
- Phone
- (352) 562-7590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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