Individual
ROBERT LOUIS BOUTOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
401 W KENNEDY BLVD # I, TAMPA, FL 33606-1450
(813) 253-6264
(813) 257-7746
Mailing address
401 W KENNEDY BLVD # I, TAMPA, FL 33606-1450
(813) 253-6264
(813) 257-7746
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000011101
BOARD OF CERTIFICATION
—
01
—
36422
NATIONAL ATHLETIC TRAINERS ASSOCIATION
—
01
—
AL3957
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
06/12/2018
Last updated
06/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us