Butler, Sharon Moore

Butler, Sharon Moore is an sole proprietor health care provider with primary practice located at 1407 E Holland Ave , Tampa FL 33612-6913. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Butler, Sharon Moore can be contacted via phone (813) 972-1057.

Contact Information

Primary practice address
1407 E Holland Ave Tampa FL 33612-6913
Phone: (813) 972-1057
Fax: (813) 971-4184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL11483 Florida

Profile Details

NPI number 1326279902
LBN Legal business name Butler, Sharon Moore
Credentials ALF ADMINISTRATOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2009
Last updated Jul 31st, 2009 - about 15 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 1326279902 NPPES
Florida Other 080517162 DEPT OF ELDER AFFAIRS
Florida MEDICAID 692137096 DEPT OF ELDER AFFAIRS
Florida MEDICAID 692137098 DEPT OF ELDER AFFAIRS

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