Individual
TARA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-8507
Mailing address
988 BLVD OF THE ARTS, UNIT 1914, SARASOTA, FL 34236-4872
(816) 223-9660
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME105696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02005300
—
FL
01
—
DF994Y
MEDICARE
FL
Enumeration date
08/15/2007
Last updated
06/03/2011
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