Individual
ALLISON DASTA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1075 OAKLEAF PLANTATION PKWY, SUITE #108, ORANGE PARK, FL 32065-3624
(904) 282-4565
(904) 282-4225
Mailing address
1075 OAKLEAF PLANTATION PKWY, SUITE #108, ORANGE PARK, FL 32065-3624
(904) 282-4565
(904) 282-4225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 97725
FL
Other
Enumeration date
07/10/2007
Last updated
05/12/2009
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