MEDICARE: DR. OKSANA BUTTITA D.P.M

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3559	FL
2	213E00000X	Podiatrist	PO 3559	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972854958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OKSANA BUTTITA D.P.M

Provider Business Mailing Address
First Line	:	2500 E HALLANDALE BEACH BLVD
Second Line	:	SUITE # 203
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4834
Country	:	US
Telephone Number	:	305-814-5514
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 E HALLANDALE BEACH BLVD
Second Line	:	STE 203
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4858
Country	:	US
Telephone Number	:	305-814-5514
Fax Number	:	305-731-2442

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2012
Last Update Date	:	09/13/2019

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