Individual
DR. WILLIAM ALLEN BETHEA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
725 W GRANADA BLVD, UNIT 44, ORMOND BEACH, FL 32174-9435
(386) 898-0547
(386) 898-0551
Mailing address
151 SOUTHHALL LN, SUITE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455
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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