Healthcare Provider Details

I. General information

NPI: 1376457861
Provider Name (Legal Business Name): JEAN DENIS BUTEAU RESPIRATORY THERAPIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 N SUNCOAST BLVD FL 34428
CRYSTAL RIVER FL
34428-6712
US

IV. Provider business mailing address

18504 LAFUENTE CT
SPRING HILL FL
34610-0229
US

V. Phone/Fax

Practice location:
  • Phone: 352-576-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number50714
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT13601
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: