Individual
BARRON E ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8751 N 30TH ST, TAMPA, FL 33604-2213
(813) 980-2422
(813) 305-2642
Mailing address
8751 N 30TH ST, TAMPA, FL 33604-2213
(954) 608-0499
(813) 305-2642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA9104135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9104135
LICENSE
FL
Enumeration date
03/22/2008
Last updated
09/27/2023
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