Individual
JODI BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W GRANADA BLVD STE 1, ORMOND BEACH, FL 32174-5941
(386) 675-6599
(386) 256-2007
Mailing address
900 W GRANADA BLVD STE 1, ORMOND BEACH, FL 32174-5941
(386) 675-6599
(386) 256-2007
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6859
FL
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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