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Individual

FOUAD M BUTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3503 E FRONTAGE RD, TAMPA, FL 33607-1742
(813) 586-8187
(813) 321-6998
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
35059340
OH
2080P0202X
Pediatric Cardiology Physician
4301069375
MI
2080P0202X
Pediatric Cardiology Physician
Primary
ME128404
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141277
ANTHEM
OH
01
000000521499
ANTHEM
OH
01
01732
PARAMOUNT
OH
05
0779948
OH
01
2414116
AETNA
OH
01
25-01038
UHC
OH
01
4127774
AETNA
OH
05
4240121
MI
01
477986938
TRICARE
OH
01
P00642157
RRMC
OH
Enumeration date
08/16/2005
Last updated
01/01/2025
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