Most Relevant Information
Provider Data
| NPI Number: | 1003332313 |
| Provider Name: | GAIL DEANNE ROTH ARNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP9233626 |
Most Important Dates
| Enumeration Date: | 08/17/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
4604 BROWNWOOD CT
TAMPA
FL
336241118
Practice Location Phone/Fax
| Phone: | 8136794101 |
| Fax: |
Provider Mailing Location
4604 BROWNWOOD CT
TAMPA
FL
336241118
Provider Mailing Phone/Fax
| Phone: | 8136794101 |
| Fax: |