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1740483882
NITIN SANTOSH BUTALA
JACKSONVILLE, FL
NPI
1740483882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: FL ME108771)
Enumeration Date
2007-06-07
Last Update Date
2020-06-29
Business Address
DR. NITIN SANTOSH BUTALA MD
841 PRUDENTIAL DR FL 10
JACKSONVILLE, FL 32207-8329
Phone number: 904-394-5404
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Mailing Address
DR. NITIN SANTOSH BUTALA MD
PO BOX 41113
JACKSONVILLE, FL 32203-1113
Phone number: 904-376-3707
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