Provider Demographics
NPI:1922131234
Name:BUTLER, FRANCIS KEVIN (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:KEVIN
Last Name:BUTLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:F. KEVIN
Other - Middle Name:
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:100 MAIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-3668
Mailing Address - Country:US
Mailing Address - Phone:727-799-4150
Mailing Address - Fax:727-796-1845
Practice Address - Street 1:100 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695
Practice Address - Country:US
Practice Address - Phone:727-799-4150
Practice Address - Fax:727-796-1845
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 457572084P0802X, 2084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
62558OtherBLUE CROSS BLUE SHEILD
FL100293300Medicaid
39123Medicare PIN