Soflo Podiatry LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

SOFLO PODIATRY LLC

Practice address

4000 Hollywood Blvd Ste 745S
Hollywood, FL 33021-1218

Phone

(585) 474-4589

NPI assigned

Feb 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacob Roth, DPMNPI 1205398724

Title

Dr

Phone

(585) 474-4589

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Roth, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hollywood, FL
  • NPI 1205398724
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1780339242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 745S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211218",
            "telephone_number": "585-474-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 745S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211218",
            "telephone_number": "585-474-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFLO PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "585-474-4589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Social Services Solutions Corp
• Allison Socias
• Soffer Heart Institute PA
• Ariel D Soffer, M.D.
• Mina H Soffer
• Michael Sanford Sofman, MD
• Ekaterina Sokolova, APRN
• Solace @ Home LLC
• Pablo Solano
• Nersa Ibet Solaris

• Podiatric Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Podiatric Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.