Individual provider · NPI-1
David Allen Butler, D.O.
Family Medicine · Port Charlotte, FL
NPI number1639127996
StatusActive
Last updated in NPPESMay 7, 2026
Details
- NPI
- 1639127996
- Entity type
- Individual (NPI-1)
- Name
- David Allen Butler
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2006
- Certification date
- May 7, 2026
- Last updated
- May 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS10915 | FL | Yes |
| 207Q00000X | Family Medicine | 2057 | WV | |
| 208M00000X | Hospitalist | OS10915 | FL |
Practice location
17801 Murdock Cir Unit CPort Charlotte, FL 33948-4003
Phone 941-629-3500 · Fax 941-979-9694
Mailing address
17801 Murdock Cir Unit CPort Charlotte, FL 33948-4003
Phone 941-629-3500 · Fax 941-979-9694
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