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MR. GERALD L BUTTELWERTH MS, ARNP-BC

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1184605123

Individual Registrant:
MR. GERALD L BUTTELWERTH MS, ARNP-BC
Gender: M
Sole Proprietor

Location and contact information for practice:
940 PALM DR  BELLEAIR BEACH, FL 33786-3341 US
Tel: 727-596-4530  Fax: --

Contact information for business:
940 PALM DR  BELLEAIR BEACH, FL 33786-3341 US
Tel: 727-596-4530  Fax: --

Registration Information:
NPI: 1184605123
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLARNP 9198184
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN 063105 NP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE #U3922ZFL01




HEALTH CARE JOBS FL - Page 1



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