Individual
MR. GERALD L BUTTELWERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ARNP-BC
Contact information
Practice address
940 PALM DR, BELLEAIR BEACH, FL 33786-3341
(727) 596-4530
Mailing address
940 PALM DR, BELLEAIR BEACH, FL 33786-3341
(727) 596-4530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9198184
FL
363L00000X
Nurse Practitioner
RN 063105 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U3922Z
MEDICARE #
FL
Enumeration date
11/08/2005
Last updated
05/12/2008
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