Roth, Tracey
Roth, Tracey is an individual health care provider with primary practice located at 399 9Th St N #300, Naples FL 34102-5820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Roth, Tracey can be contacted via phone (239) 624-4200.Contact Information
Primary practice address
399 9Th St N #300
Naples FL 34102-5820
Phone: (239) 624-4200
Fax: (239) 624-4201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME58465 | Florida |
Profile Details
| NPI number | 1710970561 |
|---|---|
| LBN Legal business name | Roth, Tracey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1710970561 | NPPES |
| Florida | Other | 14867A | BCBS |
| Florida | Other | 14867W | BCBS |
| Florida | MEDICAID | 056497400 | BCBS |
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