Individual
STEPHEN L ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3702 WASHINGTON ST, SUITE 303, HOLLYWOOD, FL 33021-8282
(954) 967-6550
(954) 967-6553
Mailing address
2905 N COMMERCE PKWY, MIRAMAR, FL 33025-3957
(954) 967-6550
(954) 893-6818
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 37888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065751400
—
FL
Enumeration date
06/09/2006
Last updated
04/18/2012
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