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Individual

DR. DAVID M ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
136 NE 2ND AVE, MIAMI, FL 33132-2509
(305) 374-5127
(305) 374-2123
Mailing address
136 NE 2ND AVE, MIAMI, FL 33132-2509
(305) 984-8476
(305) 532-7684

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2436
FL
152WC0802X
Corneal and Contact Management Optometrist
2436
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC2436
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078818000
FL
Enumeration date
06/30/2006
Last updated
04/21/2022
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