PETER N BUTLER, MD, PA
Medical Practice at Fontaine St, Pensacola, FL

License number
Florida ME85312
Category
Medical Practice
Type
Specialist
Owner
Name: DR. PETER N BUTLER MD
Title: PRESIDENT
Phone: (850) 476-3223
Address
Address
543 Fontaine St STE A, Pensacola, FL 32503
National Provider ID: 1609089432
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER N. BUTLER, M.D., PA

Pensacola, FL

Registration:
May 21, 2002
Addresses:
543-A Fontaine St, Pensacola, FL 32503 (Physical)
543 Fontaine St, Pensacola, FL 32503
State ID:
P02000056424
Business type:
Florida Profit Corporation
Director:
Peter Nm.d. Butler (Director), 543-A Fontaine St, Pensacola, FL 32503 (Physical)
Agent:
Charles Wiggins
EIN:
04-3685794

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