| Leon Roth M.d. P.a. | |
|
2500 E Hallandale Beach Blvd Suit Q,r Hallandale Beach FL 33009-4834 | |
| (954) 455-2385 | |
| (954) 454-5994 |
| Full Name | Leon Roth M.d. P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2500 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | Debra Feagin (ADMINISTRATOR) |
| Authorized Official Contact | 9544552385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Roth M.d. P.a. 2500 E Hallandale Beach Blvd Suit Q,r Hallandale Beach FL 33009-4834 Ph: (954) 455-2385 | Leon Roth M.d. P.a. 2500 E Hallandale Beach Blvd Suit Q,r Hallandale Beach FL 33009-4834 Ph: (954) 455-2385 |
| NPI Number | 1861795221 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861795221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME18438 (Florida) | Primary |
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