Butkus, Michael C

Butkus, Michael C is an individual health care provider with primary practice located at 217 Hillcrest St , Orlando FL 32801-1211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Butkus, Michael C can be contacted via phone (407) 425-1566.

Contact Information

Primary practice address
217 Hillcrest St Orlando FL 32801-1211
Phone: (407) 425-1566
Fax: (407) 422-0166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2666 Florida

Profile Details

NPI number 1831197367
LBN Legal business name Butkus, Michael C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831197367 NPPES
Florida MEDICAID 290245100

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