Butler, Marvin Ray

Butler, Marvin Ray is an individual health care provider with primary practice located at 3001 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6307. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Butler, Marvin Ray can be contacted via phone (813) 870-4000.

Contact Information

Primary practice address
3001 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6307
Phone: (813) 870-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 2196 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA2196 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2016-0022 New Mexico

Profile Details

NPI number 1992741755
LBN Legal business name Butler, Marvin Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 22nd, 2016 - about 9 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 1992741755 NPPES
Florida MEDICAID 290528100
Florida Other 970008252

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