Healthcare Provider Details

I. General information

NPI: 1538190251
Provider Name (Legal Business Name): NORBERT HENRY ROIHL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SE HOSPITAL AVE MARTIN MEMORIAL MEDICAL CENTER
STUART FL
34994-2338
US

IV. Provider business mailing address

415 SE CARDINAL TRL
STUART FL
34997-7305
US

V. Phone/Fax

Practice location:
  • Phone: 772-288-5895
  • Fax: 772-223-5908
Mailing address:
  • Phone: 772-288-5895
  • Fax: 772-223-5908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number24129
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: