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NPI Code Detail

MEDICARE: DR. RICARDO J GONZALEZ-ROTHI MD

MEDICARE: DR. RICARDO J GONZALEZ-ROTHI MD
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
1207RP1001XPulmonary Disease PhysicianME36653FL

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 : 1508892068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICARDO J GONZALEZ-ROTHI MD
Provider Business Mailing Address
First Line : 1115 W CALL ST
Second Line : SUITE 3140-D CLINICAL SCIENCES
City : TALLAHASSEE
State : FL
Zip : 32304-3556
Country : US
Telephone Number : 850-645-9732
Fax Number : 850-644-0158
Provider Business Practice Location Address
First Line : 1115 W CALL ST
Second Line : SUITE 3140-D CLINICAL SCIENCES
City : TALLAHASSEE
State : FL
Zip : 32304-3556
Country : US
Telephone Number : 850-645-9732
Fax Number : 850-644-0158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 06/05/2013

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