Individual
ADAM ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
2053 MISSION DR, NAPLES, FL 34109-7108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6242
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2023
Last updated
06/15/2023
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