LEON ROTH M.D. P.A. NPI 1861795221

NPI Information

NPI: 1861795221
Provider Name: LEON ROTH M.D. P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2500 E HALLANDALE BEACH BLVD
SUIT Q,R
HALLANDALE BEACH, FL
ZIP 33009
Phone: (954) 455-2385
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LEON ROTH M.D. P.A. is a primary care clinic center in Hallandale Beach, FL. LEON ROTH M.D. P.A. NPI is 1861795221. The provider is registered as an organization entity type.

The provider's business location address is:

2500 E HALLANDALE BEACH BLVD
SUIT Q,R
HALLANDALE BEACH, FL
ZIP 33009-834
Phone: (954) 455-2385
Fax: (954) 454-5994

The provider's authorized official is Debra Feagin .
The authorized official title is Administrator and has the following contact phone number (954) 455-2385.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 12/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME18438	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D66034	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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