Marvin Ray Butler in Tampa - Physician Assistant
Marvin Ray Butler - NPI 1992741755
Marvin Ray Butler is a Physician Assistant in Tampa, Florida. Marvin Ray Butler practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marvin Ray Butler is 1992741755. The last update date is 2016-08-22.
Marvin Ray Butler's current location address is 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida. You can contact this provider via phone number 8138704000. The mailing address for Marvin Ray Butler is 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marvin Ray Butler |
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Address | 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
Phone Number | 8138704000 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1992741755 |
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Provider Enumeration Date | 2006-06-21 |
Last Updated Date | 2016-08-22 |
Provider Mailing Address Detail
Address | 3001 W Dr Martin Luther King Jr Blvd |
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City | Tampa |
State | Florida (FL) |
Post Code | 336076307 |
Phone Number | 8138704000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA2016-0022 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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290528100 | FL | -- | |
970008252 | FL | RAILROAD MEDICARE |
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What is the unique 10-digit identification code issued to Marvin Ray Butler by the Centers for Medicare & Medicaid Services?
The Marvin Ray Butler has been assigned the NPI (National Provider Identifier) 1992741755 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Marvin Ray Butler?
The Marvin Ray Butler is physically situated at 3001 W Dr Martin Luther King Jr Blvd, in the city of Tampa, state of FL, with the postal code 336076307.
What is the Marvin Ray Butler's area of specialization and corresponding taxonomy classification?
The Marvin Ray Butler's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1992741755 assigned to Marvin Ray Butler?
The Marvin Ray Butler was issued its 1992741755 on 2006-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Marvin Ray Butler's information last updated?
The Marvin Ray Butler's information was last updated on 2016-08-22.