KORTO TAWSE-BUTHA MD
NPI 1407202419
Student in an Organized Health Care Education/Training Program in Pensacola, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 09, 2016

1657 TRINITY DR, PENSACOLA, FL 32504(850) 416-7710(850) 416-6729 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Korto Tawse-butha Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORTO TAWSE-BUTHA MD (NPI 1407202419) is an individual student in an organized health care education/training program in Pensacola, Florida, licensed in Florida (TRN 22910) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1407202419

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKORTO TAWSE-BUTHACredential: MD

Location Address1657 TRINITY DRPensacola, FL 32504-5708

Mailing Address1657 Trinity DrPensacola, FL 32504-5708 · (850) 416-7710 · Fax (850) 416-6729

Phone(850) 416-7710

Fax(850) 416-6729

Sole ProprietorYes

Enumeration DateMay 9, 2016

✔ NPI 1407202419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · TRN 22910

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1657 TRINITY DR, Pensacola, FL 32504

Open in Google Maps ↗