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NPI Code Detail

MEDICARE: DR. PAUL FRANCIS FOTI M.D.

MEDICARE:  DR. PAUL FRANCIS FOTI  M.D.
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
1207RP1001XPulmonary Disease PhysicianME0061531FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1290011167OTHERFLRAIL ROAD MEDICARE
6BJ846OTHERFLMEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
214928AOTHERFLPTAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4263769693OTHERFLGROUP TAX ID
514928WOTHERFLPTAN
714928OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1336179944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL FRANCIS FOTI M.D.
Provider Business Mailing Address
First Line : 3901 COCONUT PALM DR
Second Line : SUITE 120
City : TAMPA
State : FL
Zip : 33619-8362
Country : US
Telephone Number : 813-635-5870
Fax Number : 844-587-4802
Provider Business Practice Location Address
First Line : 3901 COCONUT PALM DR
Second Line : SUITE 120
City : TAMPA
State : FL
Zip : 33619-8362
Country : US
Telephone Number : 813-635-5870
Fax Number : 844-587-4802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 03/22/2017

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