Individual
MS. CAROLINE M. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5255 OFFICE PARK BLVD, SUITE 110, BRADENTON, FL 34203-3443
(941) 755-7000
(941) 755-7088
Mailing address
5255 OFFICE PARK BLVD, SUITE 110, BRADENTON, FL 34203-3443
(941) 755-7000
(941) 755-7088
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11027430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120354500
—
FL
Enumeration date
09/27/2023
Last updated
10/03/2024
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