| Doctor Name: | DR. WILLIAM ALLEN BETHEA |
| NPI Number: | 1326149949 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | OS9887 |
| Business Practice Address: | 725 W Granada Blvd Unit 44 Ormond Beach, FL - 321749435 |
| Business Phone Number: | 3868980547 |
| Business Fax Number: | 3868980551 |
| Mailing Address: | 151 Southhall Ln, Suite 300 MAITLAND |
| State: | FL |
| Postal Code: | 327517176 |
| Phone Number: | 4078752080 |
| Fax Number: | 4076503455 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 01/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS9887 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |