Individual
DR. ROBERT H ROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169-5235
(386) 427-4143
(386) 427-0711
Mailing address
415 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169-5235
(386) 451-4122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD.204049
LA
207W00000X
Ophthalmology Physician
Primary
ME 115506
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC560Z
MEDICARE ID
—
Enumeration date
06/18/2009
Last updated
10/06/2022
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