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Individual

DR. WILLIAM ARCH WELTON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 N DACIE PT, LECANTO, FL 34461-8399
(352) 746-2200
(352) 746-9320
Mailing address
4651 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 321-1786
(813) 321-1787

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME65368
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME65368
FL
207ND0900X
Dermatopathology Physician
ME65368
FL
207NS0135X
Procedural Dermatology Physician
ME65368
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070006784
SRRGA
FL
05
375935100
FL
Enumeration date
09/01/2005
Last updated
11/14/2022
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