Individual
DR. AMY MICHELLE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS13156
FL
208M00000X
Hospitalist Physician
OS13156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014802500
—
FL
01
—
1505L
FLORIDA BLUE
FL
Enumeration date
06/23/2011
Last updated
07/21/2022
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