Individual
NATHAN THOMAS ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 BARRS ST, RADIOLOGY DEPT, JACKSONVILLE, FL 32204-4704
(904) 308-7300
Mailing address
PO BOX 161180, ALTAMONTE SPRINGS, FL 32716-1180
(904) 388-6949
(904) 388-1841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME123322
FL
Other
Enumeration date
06/16/2009
Last updated
08/14/2023
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