Individual
ETHAN DEWEERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1103 LITHIA PINECREST RD, BRANDON, FL 33511-6713
(813) 868-1138
(813) 868-1137
Mailing address
1103 LITHIA PINECREST RD, BRANDON, FL 33511-6713
(813) 868-1138
(813) 868-1137
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12589
FL
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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