Individual
DR. BRIAN THOMAS BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4205 W ATLANTIC AVE, BLDG B SUITE 201, DELRAY BEACH, FL 33445-3901
(561) 638-9140
(561) 498-0320
Mailing address
4205 W ATLANTIC AVE, BLDG B SUITE 201, DELRAY BEACH, FL 33445-3901
(561) 638-9140
(561) 498-0320
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D57533
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME119970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012044000
—
FL
Enumeration date
01/24/2007
Last updated
10/11/2016
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