Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 239902 | MA |
N | 207X00000X | Orthopaedic Surgeon | 36223 | SC |
Y | 207X00000X | Orthopaedic Surgeon | ME123591 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | 35096453 | OH |
NPI | 1275677726 |
---|---|
Provider Name | Robert Bryan Butler |
First Address | Brandon, FL 33511-5972 |
Second Address | Brandon, FL 33511-5972 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2007 |
Last Update Date | 04/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14700700 | (05) | FL |