Individual
GAIL DEANNE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
4604 BROWNWOOD CT, TAMPA, FL 33624-1118
(813) 679-4101
Mailing address
4604 BROWNWOOD CT, TAMPA, FL 33624-1118
(813) 679-4101
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9233626
FL
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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