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NPI Code Detail

MEDICARE: BARRON E ROTH PA-C

MEDICARE: BARRON E ROTH PA-C
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
1207Q00000XFamily Medicine PhysicianPA9104135FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA9104135OTHERFLLICENSE

General Provider Information

NPI Number : 1841461449
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRON E ROTH PA-C
Provider Business Mailing Address
First Line : 8751 N 30TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33604-2213
Country : US
Telephone Number : 954-608-0499
Fax Number : 813-305-2642
Provider Business Practice Location Address
First Line : 8751 N 30TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33604-2213
Country : US
Telephone Number : 813-980-2422
Fax Number : 813-305-2642
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2008
Last Update Date : 09/27/2023

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Directions to “ BARRON E ROTH PA-C” Practice Location

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