Healthcare Provider Details

I. General information

NPI: 1801176987
Provider Name (Legal Business Name): ANN BUTE A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2011
Last Update Date: 08/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13235 STATE ROAD 52 SUITE 102
HUDSON FL
34669-2968
US

IV. Provider business mailing address

14690 SPRING HILL DR STE 101 SUITE 203
SPRING HILL FL
34609-8102
US

V. Phone/Fax

Practice location:
  • Phone: 727-378-8503
  • Fax: 727-857-7807
Mailing address:
  • Phone: 352-799-0046
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP2704192
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: