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Individual

CARMEN J. ORTIZ-BUTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
971 CRANDON BLVD, SUITE 967, KEY BISCAYNE, FL 33149
(305) 365-8222
(305) 365-8299
Mailing address
971 CRANDON BLVD, SUITE 967, KEY BISCOYNE, FL 33149
(305) 365-8222
(305) 365-8299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0045129
FL
207RN0300X
Nephrology Physician
Primary
ME0045129
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042514100
FL
01
27105
NHP
FL
01
96816
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
09/26/2006
Last updated
08/10/2015
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