Provider Demographics
NPI:1134252042
Name:ERIC J. ROTHCHILD
Entity type:Organization
Organization Name:ERIC J. ROTHCHILD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROTHCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-495-2811
Mailing Address - Street 1:16244 S MILITARY TRL
Mailing Address - Street 2:STE 690
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6534
Mailing Address - Country:US
Mailing Address - Phone:561-495-2811
Mailing Address - Fax:561-495-9538
Practice Address - Street 1:16244 S MILITARY TRL
Practice Address - Street 2:STE 690
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6534
Practice Address - Country:US
Practice Address - Phone:561-495-2811
Practice Address - Fax:561-495-9538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8978Medicare PIN
FL4611810001Medicare NSC