Richard Thomas Ethridge in Maitland - Plastic And Reconstructive Surgery
Richard Thomas Ethridge - NPI 1013108299
Richard Thomas Ethridge is a Plastic And Reconstructive Surgery in Maitland, Florida. Richard Thomas Ethridge practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Richard Thomas Ethridge is 1013108299. The last update date is 2020-01-23.
Richard Thomas Ethridge's current location address is 151 Southhall Ln Ste 300, Maitland, Florida. You can contact this provider via phone number 9704846303 and fax number 9704843036. The mailing address for Richard Thomas Ethridge is 151 Southhall Ln Ste 300, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Thomas Ethridge |
|---|---|
| Address | 151 Southhall Ln Ste 300, Maitland, Florida |
| Phone Number | 9704846303 |
| Fax Number | 9704843036 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013108299 |
|---|---|
| Provider Enumeration Date | 2007-08-05 |
| Last Updated Date | 2020-01-23 |
Provider Mailing Address Detail
| Address | 151 Southhall Ln Ste 300 |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327517172 |
| Phone Number | 9704846303 |
| Fax Number | 9704843036 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | DR.0063642 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 768289543 | MYUTMB 768289543 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard Thomas Ethridge by the Centers for Medicare & Medicaid Services?
The Richard Thomas Ethridge has been issued the NPI (National Provider Identifier) 1013108299, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Richard Thomas Ethridge?
The Richard Thomas Ethridge is physically situated at 151 Southhall Ln Ste 300, in the city of Maitland, state of FL, with the postal code 327517172.
What is the area of specialization for Richard Thomas Ethridge, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard Thomas Ethridge is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0122X.
When was the Richard Thomas Ethridge's 1013108299 issued?
The Richard Thomas Ethridge's 1013108299 was issued on 2007-08-05.
When was the information regarding Richard Thomas Ethridge most recently updated?
The details pertaining to the Richard Thomas Ethridge, including its address, specialty, and other relevant information, were last refreshed on 2020-01-23.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH