Individual
DR. JAMES L ETHEREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 S CASEREA CT, VERO BEACH, FL 32963-1065
(772) 231-4657
Mailing address
21 S CASEREA CT, VERO BEACH, FL 32963-1065
(772) 231-4657
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.04187R
LA
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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