JOE BUTLER JR MD PA
Medical Practice at Harbor Blvd, Port Charlotte, FL

License number
Florida ME 39536
Category
Medical Practice
Type
Specialist
Owner
Name: DR. JOE BUTLER JR. MD
Title: DOCTOR
Phone: (941) 629-7597
Address
Address
2525 Harbor Blvd SUITE 309, Port Charlotte, FL 33952
National Provider ID: 1497942494
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOE BUTLER, JR., M.D., PA

2525 Hbr Blvd SUITE 309, Port Charlotte, FL 33952

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Oct 1, 1979
Inactive since:
Jan 4, 1995
State ID:
638639
Business type:
Florida Profit Corporation
Butler, Joe,Jr, 2525 Hbr Blvd SUITE 309, Port Charlotte, FL 33952 (Physical)
Agent:
Boone, E.g,1001 Avendia Del Circo, Valrico, FL 33595 (Physical)
FEI/EIN:
591937538

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