Active NPI
Draughn Butler LLC
- Multi-Specialty Clinic/Center
- Lakeland, FL
National Provider Identifier
1396217089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- DRAUGHN BUTLER LLC
- Practice address
- 2033 E Edgewood Dr Ste 4
Lakeland, FL 33803-3660 - Phone
- (863) 852-6760
- NPI assigned
- Dec 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Allen Draughn
- Title
- President
- Phone
- (863) 213-9560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2033 E Edgewood Dr Ste 4
Lakeland, FL 33803-3660
Mailing address
4415 Florida National Dr Ste 209
Lakeland, FL 33813-1571
Phone (863) 213-9560
Other names 1
- PSYCHPROS
National Provider Directory
National Provider DirectoryLocations
4415 Florida National Dr
Ste 209
Lakeland, FL 33813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545177600000",
"number": "1396217089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 FLORIDA NATIONAL DR STE 209",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131571",
"telephone_number": "863-213-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 E EDGEWOOD DR STE 4",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338033660",
"telephone_number": "863-852-6760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAUGHN BUTLER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A",
"authorized_official_last_name": "DRAUGHN",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-213-9560",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PSYCHPROS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PSYCHPROS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.