| Ronald Roth Md Pa | |
|
1824 Salk Ave Tavares FL 32778-4300 | |
| (352) 253-0244 | |
| Not Available |
| Full Name | Ronald Roth Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1824 Salk Ave, Tavares, Florida |
| Authorized Official Name and Position | Ronald Roth (PRESIDENT) |
| Authorized Official Contact | 3522530244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Roth Md Pa 1824 Salk Ave Tavares FL 32778-4300 Ph: (352) 253-0244 | Ronald Roth Md Pa 1824 Salk Ave Tavares FL 32778-4300 Ph: (352) 253-0244 |
| NPI Number | 1992841662 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 09/18/2007 |
| Medicare PECOS PAC ID | 2668669508 |
|---|---|
| Medicare Enrollment ID | O20101206000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992841662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME34473 (Florida) | Primary |
| Provider Name | Ronald Roth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013105253 PECOS PAC ID: 9638130347 Enrollment ID: I20041025001052 |
| Provider Name | Marcus Carlisle Bethea |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659308773 PECOS PAC ID: 9739143447 Enrollment ID: I20050523000865 |
| Provider Name | Deborah L Zeagler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417991746 PECOS PAC ID: 2264411966 Enrollment ID: I20050825000786 |
| Provider Name | Chris Kechriotis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891721627 PECOS PAC ID: 4284698994 Enrollment ID: I20101027000876 |
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