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1730171745

NPI Code Detail

MEDICARE: FOUAD M BUTTO MD

MEDICARE: FOUAD M BUTTO MD

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	2080P0202X	Pediatric Cardiology Physician	35059340	OH
2	2080P0202X	Pediatric Cardiology Physician	4301069375	MI
3	2080P0202X	Pediatric Cardiology Physician	ME128404	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000521499	OTHER	OH	ANTHEM
2	000000141277	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4127774	OTHER	OH	AETNA
5	P00642157	OTHER	OH	RRMC
6	2414116	OTHER	OH	AETNA
7	01732	OTHER	OH	PARAMOUNT
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	25-01038	OTHER	OH	UHC
10	477986938	OTHER	OH	TRICARE
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730171745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FOUAD M BUTTO MD

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-315-7496
Fax Number	:

Provider Business Practice Location Address
First Line	:	3503 E FRONTAGE RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1742
Country	:	US
Telephone Number	:	813-586-8187
Fax Number	:	813-321-6998

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	01/01/2025

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1508074402 — KAMRAN DARABI MD
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1932575172 — RHONDA LEFFINGWELL FNP-C
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1952834756 — MISS JENNIFER IRENE FORBES D.O.
Practice Location Address:

3503 E FRONTAGE RD
TAMPA, FL
33607-1742

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Practice Fax: 813-605-6228

1861078875 — KATHY CIOFFI
Practice Location Address:

3503 E FRONTAGE RD FL 2
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33607-1742

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1205610177 — ELISIA MARIE BURSE LCSW
Practice Location Address:

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Directions to “ FOUAD M BUTTO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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