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
Fax: (239) 624-4201
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710970561 NPPES
Florida Other 14867A BCBS
Florida Other 14867W BCBS
Florida MEDICAID 056497400 BCBS

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