EDWARD FETHEROLF M D P A

ENGLEWOOD, FL
NPI1730378282
Entity TypeOrganization
Authorized ContactEDWARD C FETHEROLF
President
941-474-2266
Organization Subpart ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: FL  me30596)
Enumeration Date2007-10-22
Last Update Date2015-05-13
Business Address
EDWARD FETHEROLF M D P A
1500 PLACIDA RD SUITE B2
ENGLEWOOD, FL 34223-4955
Phone number: 941-474-2266
Mailing Address
EDWARD FETHEROLF M D P A
1500 PLACIDA RD SUITE B2
ENGLEWOOD, FL 34223-4955
Phone number: 941-474-2266