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Individual

WILLIAM J BEATON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
(727) 896-4615
(727) 256-3855
Mailing address
6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
(727) 896-4615
(727) 256-3855

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO-0000312
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0295213-00
FL
Enumeration date
06/13/2005
Last updated
08/26/2020
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