| Mr Edward Fetherolf, MD PA | |
|
1500 Placida Rd, B2, Englewood, FL 34223 | |
| (941) 475-5500 | |
| (941) 475-7274 |
| Full Name | Mr Edward Fetherolf |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1500 Placida Rd, Englewood, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750392668 | NPI | - | NPPES |
| 374759000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | ME30596 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Fetherolf, MD PA 1500 Placida Rd, B2, Englewood, FL 34223 Ph: (941) 475-5500 | Mr Edward Fetherolf, MD PA 1500 Placida Rd, B2, Englewood, FL 34223 Ph: (941) 475-5500 |
Mr. Alan Knapp, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 900 Pine St Ste 214, Englewood, FL 34223 Phone: 941-474-2266 Fax: 941-474-2255 | |
Dr. Charles M Gremillion Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2400 S Mccall Rd, Suite A, Englewood, FL 34224 Phone: 941-460-9159 Fax: 941-460-9419 |