Roth, Walter E

Roth, Walter E is an individual health care provider with primary practice located at 925 Williston Park Pt Suite 1009, Lake Mary FL 32746-2114. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Roth, Walter E can be contacted via phone (407) 323-2566.

Contact Information

Primary practice address
925 Williston Park Pt Suite 1009 Lake Mary FL 32746-2114
Phone: (407) 323-2566
Fax: (407) 324-3577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO0001719 Florida

Profile Details

NPI number 1275501876
LBN Legal business name Roth, Walter E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 6th, 2024 - about 8 months 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 1275501876 NPPES
Florida MEDICAID 057893200
Florida Other 480014891
Florida Other 8316514011

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