Search › Florida › 367500000X
William Self
NPI 1245503093 · on the registry since 2012
Practice
- Address
- 495 S Nova Rd Ste 101a
Ormond Beach, FL 32174 - Phone
- (386) 487-4673
- Organisation at this address
- Zentheo Llc
Jackson Reef
Ocean One Enterprises
Ocean One Enterprises
Wise Therapy Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Additional practice sites
- 851 Dunlawton Ave Ste 104, Port Orange, FL
- 303 N Clyde Morris Blvd, Daytona Beach, FL
- 495 S Nova Rd Ste 101a, Ormond Beach, FL
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
- Licence states on file
- ZZ, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-29
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