Etheredge Chiropractic PA
NPI #1003905084 in Fruitland Park, Florida
Provider Information
- NPI Number
- 1003905084
- Entity Type
- Organization
- Organization Name
- Etheredge Chiropractic PA
- Primary Specialty
- Chiropractor - Orthopedic
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Aug 21, 2007
Practice Location
- Address
- 3261 US HWY 27/441
- City
- Fruitland Park
- State
- Florida
- ZIP Code
- 34731
- Phone
- (352) 365-1191
Authorized Official
- Name
- DR. RICHARD KIM ETHEREDGE, DC
- Title
- OWNER/CHIRPRACTOR
- Phone
- (352) 365-1191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Orthopedic — Orthopedic |
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