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Individual

DR. WILLIAM ALLEN BETHEA JR.

Active
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Individual

DR. WILLIAM ALLEN BETHEA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS9887
FL
208D00000X
General Practice Physician
OS9887
FL

Other

Enumeration date
09/26/2006
Last updated
01/20/2015
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