Individual
DR. JAMES ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17718 ESPRIT DR, TAMPA, FL 33647-2507
(813) 991-0012
Mailing address
17718 ESPRIT DR, TAMPA, FL 33647-2507
(813) 991-0012
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME54879
FL
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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