# JACK N ROTHMAN MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386620615
- **Authorized official:** DR. JACK N ROTHMAN MD FACOG (OWNER SOLE PROPRIETORSHIP)
- **Authorized official phone:** (727) 734-6811

## Contact information

- **Practice address:** 601 MAIN ST, STE 601, DUNEDIN, FL 34698-5848
- **Practice address phone:** (727) 734-6811
- **Practice address fax:** (727) 736-2526
- **Mailing address:** 601 MAIN ST, STE 601, DUNEDIN, FL 34698-5848
- **Mailing address phone:** (727) 734-6811
- **Mailing address fax:** (727) 736-2526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2005
- **Last updated:** 08/22/2020