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NPI Code Detail

MEDICARE: MARIA BUTLER ND

MEDICARE: MARIA BUTLER ND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133VN1004XPediatric Nutrition Registered DietitianND4301FL

General Provider Information

NPI Number : 1154736213
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA BUTLER ND
Provider Business Mailing Address
First Line : 14180 METROPOLIS AVE
Second Line : SUITE 2
City : FORT MYERS
State : FL
Zip : 33912-4331
Country : US
Telephone Number : 239-223-2751
Fax Number : 239-561-2933
Provider Business Practice Location Address
First Line : 14180 METROPOLIS AVE
Second Line : SUITE 2
City : FORT MYERS
State : FL
Zip : 33912-4331
Country : US
Telephone Number : 239-223-2751
Fax Number : 239-561-2933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2014
Last Update Date : 06/27/2014

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Directions to “ MARIA BUTLER ND” Practice Location

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