Boutote, Robert Louis

Boutote, Robert Louis is an individual health care provider with primary practice located at 401 W Kennedy Blvd # I , Tampa FL 33606-1450. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Boutote, Robert Louis can be contacted via phone (813) 253-6264.

Contact Information

Primary practice address
401 W Kennedy Blvd # I Tampa FL 33606-1450
Phone: (813) 253-6264
Fax: (813) 257-7746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL3957 Florida

Profile Details

NPI number 1508359845
LBN Legal business name Boutote, Robert Louis
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Jun 12th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508359845 NPPES
Florida Other AL3957 STATE OF FLORIDA DEPARTMENT OF HEALTH
Florida Other 2000011101 STATE OF FLORIDA DEPARTMENT OF HEALTH
Florida Other 36422 STATE OF FLORIDA DEPARTMENT OF HEALTH

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