Healthcare Provider Details

I. General information

NPI: 1215489752
Provider Name (Legal Business Name): MEGAN LOVELL-BUTT RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2016
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21301 POWERLINE RD STE 106
BOCA RATON FL
33433-2389
US

IV. Provider business mailing address

2702 S ORANGE AVE # 5216
ORLANDO FL
32806-5402
US

V. Phone/Fax

Practice location:
  • Phone: 866-550-2212
  • Fax:
Mailing address:
  • Phone: 212-434-2323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP003901
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number340284
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11004498
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: