Individual
DR. TRACEY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
399 9TH ST N, #300, NAPLES, FL 34102-5820
(239) 624-4200
(239) 624-4201
Mailing address
399 9TH ST N STE 300, NAPLES, FL 34102-5820
(239) 624-4200
(239) 624-4201
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17157
SD
207RI0011X
Interventional Cardiology Physician
ME58465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056497400
—
FL
01
—
14867A
BCBS
FL
01
—
14867W
MEDICARE
—
Enumeration date
08/26/2005
Last updated
04/13/2026
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