Provider Demographics
NPI:1417063728
Name:ROTHFIELD, ROBERT ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ERIC
Last Name:ROTHFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 N COMMERCE PKWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3254
Mailing Address - Country:US
Mailing Address - Phone:954-389-7999
Mailing Address - Fax:954-389-7147
Practice Address - Street 1:2300 N COMMERCE PKWY
Practice Address - Street 2:SUITE 202
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3254
Practice Address - Country:US
Practice Address - Phone:954-389-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0066489208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF84805Medicare UPIN
FL25433YMedicare UPIN