| Robin Roth Pa | |
|
2500 Tamiami Trl N Suite 112 Naples FL 34103-4470 | |
| (239) 514-7100 | |
| (239) 514-7108 |
| Full Name | Robin Roth Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Tamiami Trl N, Naples, Florida |
| Authorized Official Name and Position | Robin Roth (PRESIDENT) |
| Authorized Official Contact | 2395147100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Roth Pa 2500 Tamiami Trl N Suite 112 Naples FL 34103-4470 Ph: (239) 514-7100 | Robin Roth Pa 2500 Tamiami Trl N Suite 112 Naples FL 34103-4470 Ph: (239) 514-7100 |
| NPI Number | 1588783369 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 07/05/2012 |
| Medicare PECOS PAC ID | 7618076605 |
|---|---|
| Medicare Enrollment ID | O20070615000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588783369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME93547 (Florida) | Primary |
| Provider Name | Robin F Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841249067 PECOS PAC ID: 0042244832 Enrollment ID: I20050921000592 |
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