Individual
KAISHA BUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1762 HAWTHORNE ST STE 5, SARASOTA, FL 34239-2100
(941) 330-2273
Mailing address
1762 HAWTHORNE ST STE 5, SARASOTA, FL 34239-2100
(941) 330-2273
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
9526764
FL
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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