Individual
BRADLEY I. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1601 S ANDREWS AVE FL 2, FORT LAUDERDALE, FL 33316-2509
(954) 355-3490
(954) 355-3498
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 355-3490
(954) 355-3498
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
47451
CO
207X00000X
Orthopaedic Surgery Physician
OS 10192
FL
207XX0801X
Orthopaedic Trauma Physician
Primary
OS10192
FL
Other
Enumeration date
03/10/2009
Last updated
04/04/2024
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