| Etheredge Chiropractic Pa | |
|
3261 Us Hwy 27/441, Fruitland Park, FL 34731 | |
| (352) 365-1191 | |
| (352) 365-0330 |
| Full Name | Etheredge Chiropractic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 3261 Us Hwy 27/441, Fruitland Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003905084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Richard Kim Etheredge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780795294 PECOS PAC ID: 3476524505 Enrollment ID: I20120222000512 |
| Provider Name | Jennifer N Paul |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184989295 PECOS PAC ID: 7911153754 Enrollment ID: I20130705000292 |
| Provider Name | Anthony Michael Fahsholtz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063066223 PECOS PAC ID: 2961853940 Enrollment ID: I20240104001488 |
| Mailing Address | Practice Location Address |
|---|---|
| Etheredge Chiropractic Pa 3261 Us Hwy 27/441, Fruitland Park, FL 34731 Ph: (352) 365-1191 | Etheredge Chiropractic Pa 3261 Us Hwy 27/441, Fruitland Park, FL 34731 Ph: (352) 365-1191 |
Restoration Spine And Sport, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1217 W Miller St Ste 1, Fruitland Park, FL 34731 Phone: 527-500-2773 Fax: 352-260-0240 | |
Dr. Jennifer Nasrin Paul, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 3261 U.s. Hwy. 27/441, Suite A1, Fruitland Park, FL 34731 Phone: 352-750-1200 Fax: 352-750-1611 | |
Dr. Matthew Joseph Uhrik, D.C., M.S., M.S. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1217 W Miller St Ste 1, Fruitland Park, FL 34731 Phone: 352-750-0277 Fax: 352-260-0240 | |
Dr. David Michael Ayris, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 415 N Dixie Ave, Fruitland Park, FL 34731 Phone: 352-787-0404 Fax: 352-787-0404 | |
Mr. Richard Kim Etheredge, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3261 Us Highway 441/27, Fruitland Park, FL 34731 Phone: 352-365-1191 Fax: 352-365-0330 |