Individual
DAVID ALLEN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17801 MURDOCK CIR UNIT C, PORT CHARLOTTE, FL 33948-4003
(941) 629-3500
(941) 979-9694
Mailing address
17801 MURDOCK CIR UNIT C, PORT CHARLOTTE, FL 33948-4003
(941) 629-3500
(941) 979-9694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2057
WV
207Q00000X
Family Medicine Physician
Primary
OS10915
FL
208M00000X
Hospitalist Physician
OS10915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001859054
BLUE CROSS/BLUE SHIELD
—
05
—
2516325
—
OH
05
—
3810001614
—
WV
Enumeration date
05/05/2006
Last updated
05/07/2026
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