Individual
MR. GEORGE EDDIE BUTTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 N FREDERICK AVE, DAYTONA BEACH, FL 32114-3400
(386) 255-5569
Mailing address
240 N FREDERICK AVE, DAYTONA BEACH, FL 32114-3400
(386) 255-5569
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0107335
FL
Other
Enumeration date
04/10/2025
Last updated
04/11/2025
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