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NPI Code Detail

MEDICARE: DR. BUTROS LATOUF M.D.

MEDICARE: DR. BUTROS LATOUF 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
1207R00000XInternal Medicine Physician35064619OH
2207R00000XInternal Medicine Physician35064619LOH
3207R00000XInternal Medicine PhysicianME164761FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110177263OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851396840
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BUTROS LATOUF M.D.
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-9100
Fax Number : 239-343-9108
Provider Business Practice Location Address
First Line : 9131 COLLEGE POINTE CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-3245
Country : US
Telephone Number : 239-343-9100
Fax Number : 239-343-9108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/24/2025

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Directions to “ DR. BUTROS LATOUF M.D.” Practice Location

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