Bradley I Roth
Osteopathic Medicine at 1 St, Pompano Beach, FL

License number
Florida 1440
Issued Date
Jan 20, 2006
Effective Date
Aug 3, 2016
Expiration Date
Jun 30, 2008
Category
Health Care
Type
Osteopathic Resident Registration
Address
Address 2
12055 NW 1St St, Pompano Beach, FL 33071
1600 Andrews Ave, Fort Lauderdale, FL 33316
Phone
(954) 234-0038

Personal information

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Name
Address
Phone
Bradley Roth
5686 Rock Island Rd APT 106, Tamarac, FL 33319
Bradley Roth
4501 E Johnson Ave APT 810, Pensacola, FL 32514
Bradley Roth
543 Plante St, Key Largo, FL 33037
Bradley Roth
1074 NW 83Rd Ave #B-62, Plantation, FL 33322
Bradley Roth
11960 NW 81St Ct, Coral Springs, FL 33076

Organization information

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BRADLEY I. ROTH, D.O., P.L

2633 NE 26 Ter, Fort Lauderdale, FL 33306

Registration:
Dec 3, 2012
State ID:
L12000150983
Business type:
Florida Limited Liability Company
Bradley Id.o. Roth, 2633 NW 26 Ter, Fort Lauderdale, FL 33306 (Physical)
Agent:
Robert Kramer,4000 Hollywood Blvd SUITE 485 SOUTH, Hollywood, FL 33021 (Physical)
FEI/EIN:
46-1495230