DPMETHEREDGENRFL LLC NPI 1386865012

NPI Information

DPMETHEREDGENRFL LLC is a podiatrist in West Palm Beach, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DPMETHEREDGENRFL LLC NPI is 1386865012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1616 39TH ST
WEST PALM BEACH, FL
ZIP 33407-634
Phone: (561) 848-8878

The provider's authorized official is Kali M Etheredge .
The authorized official title is Owner and has the following contact phone number (561) 848-8878.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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