Organization
FLORIDA FOOT & ANKLE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER E ROTH III DPM (TREASURER)
(407) 323-2566
Entity
Organization
Contact information
Practice address
925 WILLISTON PARK PT, SUITE 1009, LAKE MARY, FL 32746-2114
(407) 323-2566
(407) 324-3577
Mailing address
522 S HUNT CLUB BLVD STE 344, APOPKA, FL 32703-4960
(407) 323-2566
(407) 324-3577
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
09/20/2014
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