| Innovative Foot And Ankle Specialists | |
|
1502 N Donnelly St Ste 107, Mount Dora, FL 32757-2846 | |
| (352) 744-6290 | |
| Not Available |
| Full Name | Innovative Foot And Ankle Specialists |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1502 N Donnelly St Ste 107, Mount Dora, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457197873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Kevin A Tootle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023468295 PECOS PAC ID: 7012259088 Enrollment ID: I20190424000712 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Foot And Ankle Specialists Po Box 770754, Winter Garden, FL 34777-0754 Ph: (352) 744-6290 | Innovative Foot And Ankle Specialists 1502 N Donnelly St Ste 107, Mount Dora, FL 32757-2846 Ph: (352) 744-6290 |
Dr. Bernadette Giangreco, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3651 Lake Center Dr, Mount Dora, FL 32757 Phone: 352-385-9156 Fax: 352-385-9159 | |
Dr. Janet L Black, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3651 Lake Center Dr, Mount Dora, FL 32757 Phone: 352-385-9156 Fax: 352-385-9159 | |
Dr. Anna Marie Chwastiak, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3651 Lake Center Dr., Mount Dora, FL 32757 Phone: 352-385-9156 | |
Janet L Black D P M P A Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3651 Lake Center Dr, Mount Dora, FL 32757 Phone: 352-385-9156 Fax: 352-385-9159 |