Roth, Ronald
Roth, Ronald is an individual health care provider with primary practice located at 1824 Salk Ave , Tavares FL 32778-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Roth, Ronald can be contacted via phone (352) 253-0244.Contact Information
Primary practice address
1824 Salk Ave
Tavares FL 32778-4300
Phone: (352) 253-0244
Fax: (352) 253-1175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME34473 | Florida |
Profile Details
| NPI number | 1013105253 |
|---|---|
| LBN Legal business name | Roth, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2007 |
| Last updated | Oct 12th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013105253 | NPPES |
| Florida | Other | 93724 | BCBS |
| Florida | MEDICAID | 372604500 | BCBS |
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