Mirko Roethlisberger in The Villages - Internal Medicine
Mirko Roethlisberger - NPI 1205885480
Mirko Roethlisberger is a Internal Medicine in The Villages, Florida. Mirko Roethlisberger practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mirko Roethlisberger is 1205885480. The last update date is 2021-01-29.
Mirko Roethlisberger's current location address is 1020 Lake Sumter Lndg, The Villages, Florida. You can contact this provider via phone number 3526748905 and fax number 3526748919. The mailing address for Mirko Roethlisberger is 1020 Lake Sumter Lndg, The Villages, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mirko Roethlisberger |
|---|---|
| Address | 1020 Lake Sumter Lndg, The Villages, Florida |
| Phone Number | 3526748905 |
| Fax Number | 3526748919 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205885480 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2021-01-29 |
Provider Mailing Address Detail
| Address | 1020 Lake Sumter Lndg |
|---|---|
| City | The Villages |
| State | Florida (FL) |
| Post Code | 321622699 |
| Phone Number | 3526748905 |
| Fax Number | 3526748919 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 222082 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10222082 | BLUE CROSS BLUE SHIELD | ||
| 109768BJ | PREFERED CARE | ||
| 2445563 | NY | -- |
Post Comment/ Review Below
What is the Mirko Roethlisberger's 1205885480?
The Mirko Roethlisberger's NPI (National Provider Identifier) Number is 1205885480. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mirko Roethlisberger is physically located?
The Mirko Roethlisberger is physically situated at the following address: 1020 Lake Sumter Lndg, The Villages, FL, 321622699.
What is the Mirko Roethlisberger's specialty and taxonomy code?
The Mirko Roethlisberger's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205885480 to Mirko Roethlisberger?
The Centers for Medicare & Medicaid Services assigned the 1205885480 to Mirko Roethlisberger on 2006-05-08.
When was the information pertaining to Mirko Roethlisberger most recently updated or revised?
The details related to Mirko Roethlisberger, including its address, specialty, and other relevant information, were last updated or revised on 2021-01-29.