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1013105253
RONALD ROTH
TAVARES, FL
NPI
1013105253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: FL ME34473)
Enumeration Date
2007-10-12
Last Update Date
2007-10-12
Business Address
Mr. RONALD ROTH MD
1824 SALK AVE
TAVARES, FL 32778-4300
Phone number: 352-253-0244
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Mailing Address
Mr. RONALD ROTH MD
1824 SALK AVE
TAVARES, FL 32778-4300
Phone number: 352-253-0244
Copy
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