Individual
MITCHELL S ROTHSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 N LEE ST, SUITE 202, JACKSONVILLE, FL 32204-1127
(904) 366-3738
(904) 354-3571
Mailing address
425 N LEE ST, SUITE 202, JACKSONVILLE, FL 32204-1127
(904) 366-3738
(904) 354-3571
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0050862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03757Z
PTAN
FL
Enumeration date
05/19/2006
Last updated
01/23/2012
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