Individual
ANGELA ROTH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7731 NW 11TH CT, PEMBROKE PINES, FL 33024-5203
(954) 639-1418
Mailing address
7731 NW 11 TH CORT, PEMBROKE PINES, FL 33024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9431484
FL
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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