Mary Butler (NPI# 1760954473, PAC ID# 2466790498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760954473 |
| PAC ID by PECOS | 2466790498 |
| Professional Enrollment ID | I20190215002468 |
| Full Name | Mary Butler |
| Organization Legal Name | FRED L LESLIE DO PL |
| Address |
10875 Park Blvd Suite C Seminole FL 33772-5456 |
| Phone Number | 7278519910 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608027271 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10875 Park Blvd, Suite C, Seminole, FL 33772-5456 | 7278519910 | FRED L LESLIE DO PL |
| Organization Legal Name | FRED L LESLIE DO PL |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred Lee Leslie | Family Medicine | Fred L Leslie Do Pl | 10875 Park Blvd, Suite C, Seminole, FL 33772-5456 |
| Donna Malkovich | Nurse Practitioner | Fred L Leslie Do Pl | 10875 Park Blvd, Suite C, Seminole, FL 33772-5456 |
| Street Address |
10875 PARK BLVD SUITE C |
| City | SEMINOLE |
| State | FL |
| Zip | 33772-5456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred Lee Leslie | Family Medicine | Fred L Leslie Do Pl | 10875 Park Blvd, Suite C, Seminole, FL 33772-5456 |
| Donna Malkovich | Nurse Practitioner | Fred L Leslie Do Pl | 10875 Park Blvd, Suite C, Seminole, FL 33772-5456 |
| Cynthia L Holland | Clinical Social Worker | 10875 Park Blvd, A, Seminole, FL 33772-5456 | |
| Gary G Holland | General Practice | Gary G Holland Md Pa | 10875 Park Blvd, A, Seminole, FL 33772-5456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Dziubinski | Nurse Practitioner | 9555 Seminole Blvd, Suite 104, Seminole, FL 33772-2522 | |
| Ingrid Zumaran | Internal Medicine | Ingrid Zumaran M.d.p.a. | 9555 Seminole Boulevard, Suite 104, Seminole, FL 33772-2522 |
| Melissa Bibb | Nurse Practitioner | 9555 Seminole Blvd, Suite 104, Seminole, FL 33772-2522 | |
| Cameron Esmkhani | Internal Medicine | Access Health Care Physicians LLC | 9555 Seminole Blvd, Suite 103, Seminole, FL 33772-2522 |
| Lakshmisri Bhattacharjee | Pulmonary Disease | 9555 Seminole Blvd, Suite 104, Seminole, FL 33772-2522 | |
| Bruce P. Smith | Internal Medicine | 9555 Seminole Blvd, Seminole, FL 33772-2522 | |
| Heidi E Goldberg | Gastroenterology | 9555 Seminole Blvd, Suite 201, Seminole, FL 33772-2523 | |
| Lawrence J Miller | Psychologist, Clinical | 9555 Seminole Blvd, Suite 106, Seminole, FL 33772-2524 | |
| Svetlana Nagle | Nurse Practitioner | Advanced Care Physicians Group, Pa | 9555 Seminole Blvd, Suite 100, Seminole, FL 33772-2524 |
| Kingsley A Asare | Infectious Disease | Advanced Care Physicians Group, Pa | 9555 Seminole Blvd, Suite 100, Seminole, FL 33772-2524 |
| Find all physicians in zip 33772 | |||
| City | SEMINOLE |
| Zip Code | 33772 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SEMINOLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.