Etheredge Chiropractic Pa in Fruitland Park - Orthopedic
Etheredge Chiropractic Pa - NPI 1003905084
Etheredge Chiropractic Pa is a Orthopedic in Fruitland Park, Florida. Etheredge Chiropractic Pa practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Etheredge Chiropractic Pa is 1003905084. The last update date is 2007-08-21.
Etheredge Chiropractic Pa's current location address is 3261 Us Hwy 27/441, Fruitland Park, Florida. You can contact this provider via phone number 3523651191 and fax number 3523650330. The mailing address for Etheredge Chiropractic Pa is 3261 Us Hwy 27/441, Fruitland Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Etheredge Chiropractic Pa |
|---|---|
| Address | 3261 Us Hwy 27/441, Fruitland Park, Florida |
| Phone Number | 3523651191 |
| Fax Number | 3523650330 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/CHIR |
|---|---|
| Authorized Official Name | Etheredge Kim Richard |
| Credentials | DC |
| Telephone Number | 3523651191 |
NPI Number Detail
| NPI Number | 1003905084 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-08-21 |
Provider Mailing Address Detail
| Address | 3261 Us Hwy 27/441 |
|---|---|
| City | Fruitland Park |
| State | Florida (FL) |
| Post Code | 34731 |
| Phone Number | 3523651191 |
| Fax Number | 3523650330 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 111Nx0800X |
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Definition: Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, mu |
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What is the unique 10-digit identifier code issued to Etheredge Chiropractic Pa by the Centers for Medicare & Medicaid Services?
The Etheredge Chiropractic Pa has been assigned the NPI (National Provider Identifier) 1003905084 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
What is Etheredge Chiropractic Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Etheredge Chiropractic Pa's area of specialization is Orthopedic, and the corresponding taxonomy code that categorizes this field of practice is 111Nx0800X.
On what date was the 1003905084 assigned to Etheredge Chiropractic Pa?
The Etheredge Chiropractic Pa was issued its 1003905084 on 2006-10-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Etheredge Chiropractic Pa receive the assignment of its 1003905084 from the Centers for Medicare & Medicaid Services?
The Etheredge Chiropractic Pa was issued its 1003905084 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information regarding Etheredge Chiropractic Pa most recently updated?
The details pertaining to the Etheredge Chiropractic Pa, including its address, specialty, and other relevant information, were last refreshed on 2007-08-21.
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