Richard G. Roetzheim MD

NPI 1629007927 - Family Medicine - 207Q00000X

NPI Details
NPI 1629007927
Gender Male
Enumeration Date 07/01/2006
Last Updated 03/19/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
12901 BRUCE B DOWNS BLVD
MDC 13
TAMPA FL, 33612-4742, US
Phone (813) 974-2918
Fax (813) 974-3326
Business Location
PO BOX 917770
ORLANDO FL, 32891-7770, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME48895
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According to our database, Richard G. Roetzheim MD NPI is 1629007927, taxonomy code is 207Q00000X and license number is ME48895, license state is located at Florida. Richard G. Roetzheim MD physically located at 12901 Bruce B Downs Blvd, Tampa FL, 33612-4742. NPI Number Richard G. Roetzheim MD has the Individual type.

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1629007927 NPI number is provided on an as is basis without warranty of any kind. 1629007927 is maintained by the National Plan & Provider Enumeration System. The contents of Richard G. Roetzheim MD are for informational purposes only.