Roth, William G
Roth, William G is an individual health care provider with primary practice located at 446 Tamiami Trl S 2Nd Floor, Venice FL 34285-2625. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Roth, William G can be contacted via phone (941) 483-3319.Contact Information
Primary practice address
446 Tamiami Trl S 2Nd Floor
Venice FL 34285-2625
Phone: (941) 483-3319
Fax: (941) 483-3406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | ME53084 | Florida |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME53084 | Florida |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | ME53084 | Florida |
Profile Details
| NPI number | 1124027362 |
|---|---|
| LBN Legal business name | Roth, William G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 2nd, 2010 - about 14 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 | 1124027362 | NPPES |
| Florida | MEDICAID | 250574600 |
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