Edward Fetherolf M D P a

NPI #1730378282 in Englewood, Florida

Provider Information

NPI Number: 1730378282
Entity Type: Organization
Organization Name: Edward Fetherolf M D P a
Primary Specialty: Ophthalmology
Enumeration Date: Oct 22, 2007
Last Updated: May 13, 2015

Practice Location

Address: 1500 PLACIDA RD
Address 2: SUITE B2
City: Englewood
State: Florida
ZIP Code: 34223-4955
Phone: (941) 474-2266

Authorized Official

Name: DR. EDWARD C FETHEROLF, M.D.
Title: PRESIDENT
Phone: (941) 474-2266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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