Provider Demographics
NPI:1336179944
Name:FOTI, PAUL FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FRANCIS
Last Name:FOTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3901 COCONUT PALM DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-8362
Mailing Address - Country:US
Mailing Address - Phone:813-635-5870
Mailing Address - Fax:844-587-4802
Practice Address - Street 1:3901 COCONUT PALM DR
Practice Address - Street 2:SUITE 120
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-8362
Practice Address - Country:US
Practice Address - Phone:813-635-5870
Practice Address - Fax:844-587-4802
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0061531207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL290011167OtherRAIL ROAD MEDICARE
FL14928AOtherPTAN
FL251321800Medicaid
FL263769693OtherGROUP TAX ID
FL14928WOtherPTAN
FLBJ846OtherMEDICARE GROUP
FL14928OtherBLUE CROSS BLUE SHIELD
FL251321800Medicaid