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Organization
DPMETHEREDGENRFL LLC
Active
Organization
DPMETHEREDGENRFL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALI M ETHEREDGE DPM (OWNER)
(561) 848-8878
Entity
Organization
Contact information
Practice address
1616 39TH ST, WEST PALM BEACH, FL 33407-3634
(561) 848-8878
Mailing address
1616 39TH ST, WEST PALM BEACH, FL 33407-3634
(561) 848-8878
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3255
FL
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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