Individual
DR. PAUL SEBASTIAN ROETTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 32086-6586
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME134760
FL
207X00000X
Orthopaedic Surgery Physician
R73929
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME134760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122407200
—
FL
Enumeration date
06/05/2013
Last updated
07/28/2025
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