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General NPI Number Information
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NPI Number | 1407023310
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Entity Type | Individual
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Provider Name | SALVATORE JOSEPH BUONAIUTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 601 E. ROLLINS ST. FLORIDA HOSPITAL FOR CHILDREN
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City | ORLANDO
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State | FL
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Zip | 32803
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Country | US
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Telephone | 407-599-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 DR MARTIN LUTHER KING JR ST N SUITE 108
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City | ST PETERSBURG
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State | FL
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Zip | 33701-1547
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Country | US
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Telephone | 727-456-3288
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Fax | 727-456-3289
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 8209555-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 8209555-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | ME117929
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License Number State | FL
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