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Organization

CARMEN J ORTIZ BUTCHER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLARA GOMEZ (CREDENTIALING SPECIALIST)
(786) 621-3897
Entity
Organization

Contact information

Practice address
971 CRANDON BLVD, SUITE 967, KEY BISCAYNE, FL 33149-2752
(305) 365-8222
(786) 975-2643
Mailing address
971 CRANDON BLVD, SUITE 967, KEY BISCAYNE, FL 33149-2752
(305) 365-8222
(786) 975-2643

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
FL

Other

Enumeration date
02/17/2009
Last updated
02/17/2009
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