Individual
DR. MARK S ROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD024542E
PA
2086X0206X
Surgical Oncology Physician
Primary
ME105140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001037700
—
FL
05
—
0016358270002
—
PA
05
—
2212322
—
OH
05
—
3005028000
—
WV
01
—
ME105140
MEDICAL LICENSE
FL
Enumeration date
08/09/2005
Last updated
11/09/2016
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