Individual
LEO JOSEPH ROTHBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SOUTH ASHLEY DRIVE, SUITE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Mailing address
100 SOUTH ASHLEY DRIVE, SUITE 1500, TAMPA, FL 33602-5318
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
30191
CO
2085N0700X
Neuroradiology Physician
ME125956
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME125956
FL
2085R0204X
Vascular & Interventional Radiology Physician
30191
CO
2085R0204X
Vascular & Interventional Radiology Physician
ME125956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01301910
—
CO
05
—
015956000
—
FL
Enumeration date
07/13/2006
Last updated
02/10/2016
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