Individual
DR. MATTHEW H ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
6160 N DAVIS HWY, SUITE 1, PENSACOLA, FL 32504-6994
(850) 476-2805
(850) 476-3010
Mailing address
6160 N DAVIS HWY, SUITE 1, PENSACOLA, FL 32504-6994
(850) 476-2805
(850) 476-3010
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO2862
FL
Other
Enumeration date
09/13/2005
Last updated
03/31/2014
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