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Individual

DR. MARYELIZABETH ANNE ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2623 S SEACREST BLVD, SUITE 65, BOYNTON BEACH, FL 33435-7501
(561) 806-6835
Mailing address
2623 S SEACREST BLVD, SUTE 65, BOYNTON BEACH, FL 33435-7501
(561) 806-6835
(561) 806-6607

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD013615E
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME118033
FL

Other

Enumeration date
10/19/2006
Last updated
10/09/2015
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