person
Dr. Walter E Roth III, DPM
Foot & Ankle Surgery Podiatrist in Lake Mary, Florida
NPI 1275501876

Walter E Roth III is a Foot & Ankle Surgery Podiatrist based in Lake Mary, FL and is specialized in Foot & Ankle Surgery. Walter E Roth III practices in Lake Mary, FL and has the professional credentials of DPM. The NPI Number for Walter E Roth III is 1275501876 and holds a License No. PO0001719 (Florida).

The current practice location address for Walter E Roth III is 925 Williston Park Pt, Lake Mary, FL and can be reached out via phone at 407-323-2566 and via fax at 407-324-3577.

Location: 925 Williston Park Pt, Lake Mary, FL, 32746-2114
person
Provider Profile Details
NPI Number
1275501876
Provider Name
Walter E Roth III
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
925 Williston Park Pt, Lake Mary, FL, 32746-2114
Phone Number
407-323-2566
Fax Number
407-324-3577
Provider Enumeration Date
03/09/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
057893200 05 FL
480014891 01 RAILROAD MEDICARE
8316514011 01 CIGNA
institution
Provider Business Practice Location Address Details
Address
925 Williston Park Pt
City
State
Zip
32746-2114
Phone Number
407-323-2566
Fax Number
407-324-3577
person
Provider Business Mailing Address Details
Address
925 Williston Park Pt
City
State
Zip
32746-2114
Phone Number
407-323-2566
Fax Number
407-324-3577
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO0001719 (Florida)
Definition
Definition to come...
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