Provider Demographics
NPI:1265475289
Name:ROTHCHILD, ERIC J (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:ROTHCHILD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16244 MILITARY TRL
Mailing Address - Street 2:SUITE 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 MILITARY TRL
Practice Address - Street 2:SUITE 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
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-11-10
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Provider Licenses
StateLicense IDTaxonomies
FLME51324207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280506500Medicaid
FL010022859OtherRAILROAD MEDICARE
FL05844OtherBLUE CROSS BLUE SHIELD
FL05844OtherBLUE CROSS BLUE SHIELD