Organization
RONALD ROTH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ROTH M.D. (PRESIDENT)
(352) 253-0244
Entity
Organization
Contact information
Practice address
1824 SALK AVE, TAVARES, FL 32778-4300
(352) 253-0244
Mailing address
1824 SALK AVE, TAVARES, FL 32778-4300
(352) 253-0244
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME34473
FL
Other
Enumeration date
01/30/2007
Last updated
09/18/2007
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