Butterworth, Blake David

Butterworth, Blake David is an individual health care provider with primary practice located at 400 Colonnade Dr Ste 230 , Ponte Vedra FL 32081-6237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Butterworth, Blake David can be contacted via phone (904) 640-8249.

Contact Information

Primary practice address
400 Colonnade Dr Ste 230 Ponte Vedra FL 32081-6237
Phone: (904) 640-8249
Fax: (904) 640-8250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME135629 Florida

Profile Details

NPI number 1235543539
LBN Legal business name Butterworth, Blake David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2014
Last updated Jun 23rd, 2023 - about 2 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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