Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Roth, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205398724

Dr. Jacob Roth, DPM is a Student in an Organized Health Care Education/Training Program in Hollywood, Florida. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4000 Hollywood Blvd Ste 745S
Hollywood, FL 33021-1218
Phone: (585) 474-4589
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC007030 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205398724
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 3, 2019
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022
Mailing address911 Wood St Apt 2, Philadelphia, PA 19107-1886

Other providers in Hollywood