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NPI Code Detail

MEDICARE: DR. ROGER WILLIAM ALTMAN M.D.

MEDICARE: DR. ROGER WILLIAM ALTMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ND0101XMOHS-Micrographic Surgery PhysicianME41151FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003898099
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER WILLIAM ALTMAN M.D.
Provider Business Mailing Address
First Line : 32615 US HIGHWAY 19 N
Second Line : SUITE 1
City : PALM HARBOR
State : FL
Zip : 34684-3176
Country : US
Telephone Number : 727-785-7667
Fax Number : 727-787-4543
Provider Business Practice Location Address
First Line : 32615 US HIGHWAY 19 N
Second Line : SUITE 1
City : PALM HARBOR
State : FL
Zip : 34684-3176
Country : US
Telephone Number : 727-785-7667
Fax Number : 727-787-4543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 04/18/2011

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