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Individual

VELMA BUTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3703 N 55TH ST, TAMPA, FL 33619-1425
(813) 381-9726
(813) 412-4396
Mailing address
3703 N 55TH ST, TAMPA, FL 33619-1425
(813) 381-9726
(813) 412-4396

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
6906543
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010976200
FL
Enumeration date
03/03/2015
Last updated
03/03/2015
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