Organization
DAVID B. ETHIER MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGOT E ETHIER (OFFICE MANAGER)
(352) 307-7678
Entity
Organization
Contact information
Practice address
11531 SE US HIGHWAY 301, BELLEVIEW, FL 34420-4429
(352) 307-7678
(352) 307-7677
Mailing address
PO BOX 4118, BELLEVIEW, FL 34421-4118
(352) 307-7678
(352) 307-7677
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0071757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200031401
RAILROAD MEDICARE
FL
05
—
251104500
—
FL
01
—
32354
BLUE CROSS
FL
Enumeration date
01/22/2009
Last updated
11/15/2013
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