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Contact Information

WILLIAM A BETHEA JR, DO
725 W GRANADA BLVD
UNIT 44
ORMOND BEACH, FL32174-9435
 Phone: 386-898-0547
 Fax: 386-898-0551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for WILLIAM A BETHEA JR · (Male)

NPI # 1326149949
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/26/2006
Last updated 01/20/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS9887
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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