GAIL DEANNE ROTH


Address: 4604 Brownwood Ct, Tampa, FL 33624-1118
Phone: (813) 679-4101

GAIL DEANNE ROTH (NPI# 1003332313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003332313
Entity Type Individual
Full Name GAIL DEANNE ROTH
Credential ARNP-C
Practice Address 4604 Brownwood Ct
Tampa
FL 33624-1118
Practice Telephone (813) 679-4101
Mailing Telephone 8136794101
Enumeration Date 2017-08-17
Last Update Date 2020-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
ARNP9233626 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
12470 Telecom Dr Ste 300w, Temple Terrace, FL 336370904 8138718111

Office Location

Street Address 4604 BROWNWOOD CT
City TAMPA
State FL
Zip Code 33624-1118

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1912510926 Oneeka Green Nurse Practitioner 8947 Turnstone Haven Pl, Tampa, FL 33619-0826 2020-08-28
1578193520 Quankela Tillman Nurse Practitioner 2604 Lindell Ave, Tampa, FL 33610-7757 2020-01-17
1891272076 Jehad Saleh Nurse Practitioner 317 E Hanlon St, Tampa, FL 33604-4130 2018-07-20
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1215353073 Crystal Danae Van Dette Nurse Practitioner 2919w Swann Ave 102, Tampa, FL 33609-4049 2014-03-17
1912056169 Wendy Heather Hull Nurse Practitioner 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609 2007-01-09
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1023001633 Linda K Beagle Nurse Practitioner 300 S Hyde Park Ave, Ste 210, Tampa, FL 33606-4125 2005-08-30
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Competitor

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City TAMPA
Zip Code 33624

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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