# DAVID B. ETHIER MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548408982
- **Authorized official:** MS. MARGOT E ETHIER (OFFICE MANAGER)
- **Authorized official phone:** (352) 307-7678

## Contact information

- **Practice address:** 11531 SE US HIGHWAY 301, BELLEVIEW, FL 34420-4429
- **Practice address phone:** (352) 307-7678
- **Practice address fax:** (352) 307-7677
- **Mailing address:** PO BOX 4118, BELLEVIEW, FL 34421-4118
- **Mailing address phone:** (352) 307-7678
- **Mailing address fax:** (352) 307-7677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME0071757 | FL | Yes |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 11/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200031401 | RAILROAD MEDICARE | FL |
| 05 | — | 251104500 | — | FL |
| 01 | — | 32354 | BLUE CROSS | FL |