Leon Roth M.D. P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME18438 Issued in FL

Legal business name

LEON ROTH M.D. P.A.

Practice address

2500 E Hallandale Beach Blvd
Suit Q,R
Hallandale Beach, FL 33009-4834

Phone

(954) 455-2385

Fax

(954) 454-5994

NPI assigned

Dec 7, 2010

Last updated

Dec 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Feagin

Title

Administrator

Phone

(954) 455-2385

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1861795221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "SUIT Q,R",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-455-2385",
            "fax_number": "954-454-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "SUIT Q,R",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-455-2385",
            "fax_number": "954-454-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON ROTH M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "FEAGIN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-455-2385",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME18438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Lechner, MD
• Suzanne C Lechner, PHD
• Lorena Y Lechter, MS, LMHC
• Adriana Monica Leis, PSYD
• Julie Lemire Monfette, A.P.
• Laura Zita Leordean, ARNP
• Michelle Lenore Lesnick
• Let's Talk ABA Therapy
• Leonid Levit, DDS
• Jean-Pierre R Levy, M.D.

• Primary Care Clinic/Center in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.