Individual
MICHAEL C BUTKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
(407) 422-0166
Mailing address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
(407) 422-0166
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290245100
—
FL
Enumeration date
07/08/2005
Last updated
01/16/2020
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