Rothman, Jack N

Rothman, Jack N is an individual health care provider with primary practice located at 3251 N Mcmullen Booth Rd Ste 102, Clearwater FL 33761-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Rothman, Jack N can be contacted via phone (727) 669-6811.

Contact Information

Primary practice address
3251 N Mcmullen Booth Rd Ste 102 Clearwater FL 33761-2022
Phone: (727) 669-6811
Fax: (727) 669-6818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 0037045 Florida

Profile Details

NPI number 1811982572
LBN Legal business name Rothman, Jack N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 30th, 2012 - about 13 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 1811982572 NPPES
Florida MEDICAID 065170200

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