Provider Demographics
NPI:1326628884
Name:BUTLER, JAMES WELLS (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WELLS
Last Name:BUTLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:300 CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-5909
Mailing Address - Country:US
Mailing Address - Phone:386-317-8620
Mailing Address - Fax:386-317-8625
Practice Address - Street 1:300 CLYDE MORRIS BLVD STE A
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-5909
Practice Address - Country:US
Practice Address - Phone:386-317-8620
Practice Address - Fax:386-317-8625
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS21526207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine