Organization
BK PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY K BUTLER MD (OWNER)
(856) 364-3067
Entity
Organization
Contact information
Practice address
10708 BRADBURY WAY, FORT MYERS, FL 33913-8417
(856) 364-3067
Mailing address
10708 BRADBURY WAY, FORT MYERS, FL 33913-8417
(856) 364-3067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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