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Dr. Jacob Roth, DPM
Foot & Ankle Surgery Podiatrist in Hollywood, Florida
NPI 1205398724

Jacob Roth is a Foot & Ankle Surgery Podiatrist based in Philadelphia, FL and is specialized in Foot & Ankle Surgery. Jacob Roth practices in Hollywood, FL and has the professional credentials of DPM. The NPI Number for Jacob Roth is 1205398724 and holds a License No. (Florida).

The current practice location address for Jacob Roth is 4000 Hollywood Blvd Ste 745S, Hollywood, FL and can be reached out via phone at 585-474-4589.

Location: 4000 Hollywood Blvd Ste 745S, Hollywood, FL, 19107-1886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205398724
Provider Name
Jacob Roth
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4000 Hollywood Blvd Ste 745S, Hollywood, FL, 19107-1886
Phone Number
585-474-4589
Fax Number
Provider Enumeration Date
04/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4000 Hollywood Blvd Ste 745S
City
Hollywood
State
Florida
Zip
33021-1218
Phone Number
585-474-4589
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Hollywood Blvd Ste 745S
City
Hollywood
State
Florida
Zip
33021-1218
Phone Number
585-474-4589
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
SC007030 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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