Individual
DANIEL ETTEDGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7284 W PALMETTO PARK RD, SUITE 105S, BOCA RATON, FL 33433-3406
(561) 912-9580
(561) 912-9506
Mailing address
7284 W PALMETTO PARK RD, SUITE 105S, BOCA RATON, FL 33433-3406
(561) 912-9580
(561) 912-9506
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS-6221
FL
Other
Enumeration date
03/17/2006
Last updated
04/14/2021
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