Matthew H Etheridge D.P.M

NPI 1093700494 - Podiatrist - 213ES0131X

NPI Details
NPI 1093700494
Gender Male
Enumeration Date 09/13/2005
Last Updated 03/31/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
6160 N DAVIS HWY
SUITE 1
PENSACOLA FL, 32504-6994, US
Phone (850) 476-2805
Fax (850) 476-3010
Business Location
6160 N DAVIS HWY
SUITE 1
PENSACOLA FL, 32504-6994, US
Phone (850) 476-2805
Fax (850) 476-3010
Toxanomy
Taxonomy Code 213ES0131X
License State Florida
License Number PO2862
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According to our database, Dr. Matthew H Etheridge D.P.M NPI is 1093700494, taxonomy code is 213ES0131X and license number is PO2862, license state is located at Florida. Matthew H Etheridge D.P.M physically located at 6160 N Davis Hwy, Pensacola FL, 32504-6994. NPI Number Matthew H Etheridge D.P.M has the Individual type.

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1093700494 NPI number is provided on an as is basis without warranty of any kind. 1093700494 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew H Etheridge D.P.M are for informational purposes only.