Provider Demographics
NPI:1841295151
Name:ROTHSCHILD, ALLAN WARREN (DPM)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:WARREN
Last Name:ROTHSCHILD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 MAIN ST
Mailing Address - Street 2:STE L
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5225
Mailing Address - Country:US
Mailing Address - Phone:727-734-5575
Mailing Address - Fax:727-733-4147
Practice Address - Street 1:1022 MAIN ST
Practice Address - Street 2:STE L
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5225
Practice Address - Country:US
Practice Address - Phone:727-734-5575
Practice Address - Fax:727-733-4147
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 472213E00000X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL087542001OtherPALMETTO DMERC PROVIDER #
10719587OtherCAQH
FL041100100Medicaid
FL480486064OtherRAILROAD MEDICARE
FL87217OtherPTAN
FLPO 472OtherSTATE MEDICAL LICENSE
FLPO 472OtherSTATE MEDICAL LICENSE
FLAR3148500OtherDEA
FL041100100Medicaid