Andrew Rothberg Od PA
Optometrist in Tampa, FL. Organization (NPI-2).
NPI number1881095545
StatusActive
Last updated in NPPESJul 12, 2020
Details
- NPI
- 1881095545
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrew Rothberg Od PA
- Organization subpart
- No
- Enumeration date
- Sep 11, 2014
- Certification date
- Jul 12, 2020
- Last updated
- Jul 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
12950 Race Track RdSuite 108
Tampa, FL 33626-1309
Phone 727-244-3368 · Fax 832-934-1166
Mailing address
12950 Race Track Rd Ste 111Tampa, FL 33626-1304
Phone 813-854-9000 · Fax 813-579-2063
Authorized official
Andrew Scott Rothberg
President
8138549000
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