Bethel Wilson

NPI 1174999411 · on the registry since 2015

Practice

Address: 255 Se 7th Ave
Suite 2
Crystal River, FL 34429
Phone: (352) 795-4114
Fax: (352) 563-2438
Organisation at this address: Citrus Path Llc
Citrus Multi Care Llc
Susana T. Donaire, Md, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida