Individual
MR. WILLIAM P DOUGLASS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114
(386) 254-4139
(386) 258-8265
Mailing address
569 HEALTH BLVD, SUITE A, DAYTONA BEACH, FL 32114-1499
(386) 258-7668
(386) 258-7671
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0015015
FL
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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