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1053929190
JAY W BUTWINICK
PORT ORANGE, FL
NPI
1053929190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11007863)
Enumeration Date
2020-07-15
Last Update Date
2023-10-12
Business Address
JAY W BUTWINICK APRN
1730 DUNLAWTON AVE STE 1
PORT ORANGE, FL 32127-8986
Phone number: 386-320-3299
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Mailing Address
JAY W BUTWINICK APRN
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114-2709
Phone number:
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