Butler, Porsha

Butler, Porsha is an individual health care provider with primary practice located at 220 Barton Blvd Unit C-14 , Rockledge FL 32955-2742. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Butler, Porsha can be contacted via phone (321) 639-5177.

Contact Information

Primary practice address
220 Barton Blvd Unit C-14 Rockledge FL 32955-2742
Phone: (321) 639-5177
Fax: (321) 639-4927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME140891 Florida

Profile Details

NPI number 1427437664
LBN Legal business name Butler, Porsha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2015
Last updated Jul 9th, 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 1427437664 NPPES
Florida MEDICAID 102963000

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