MEDICARE: DR. ROBERT ERIC ROTHFIELD 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
1	208200000X	Plastic Surgery Physician	ME0066489	FL

General Provider Information

NPI Number	:	1417063728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ERIC ROTHFIELD M.D.

Provider Business Mailing Address
First Line	:	2300 N COMMERCE PKWY
Second Line	:	SUITE 202
City	:	WESTON
State	:	FL
Zip	:	33326-3254
Country	:	US
Telephone Number	:	954-389-7999
Fax Number	:	954-389-7147

Provider Business Practice Location Address
First Line	:	2300 N COMMERCE PKWY
Second Line	:	SUITE 202
City	:	WESTON
State	:	FL
Zip	:	33326-3254
Country	:	US
Telephone Number	:	954-389-7999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	02/24/2021

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