Individual
JAY M BUTTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12320 SW COASTAL OAK DR, PORT ST LUCIE, FL 34987-6926
(817) 937-3982
Mailing address
12320 SW COASTAL OAK DR, PORT ST LUCIE, FL 34987-6926
(817) 937-3982
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
J1626
TX
2084P0800X
Psychiatry Physician
Primary
OS19435
FL
Other
Enumeration date
10/19/2006
Last updated
12/31/2025
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