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Individual

DAVID BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1280 W LANTANA RD, SUITE 1, LANTANA, FL 33462-1543
(561) 582-3383
(561) 582-8821
Mailing address
1280 W LANTANA RD, SUITE 1, LANTANA, FL 33462-1543
(561) 582-3383
(561) 582-8821

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2227
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078709400
FL
01
410010724
RAILROAD MEDICARE
FL
Enumeration date
05/12/2006
Last updated
09/15/2010
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