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

Dr. Mirko Roethlisberger, MD

Individual provider Internal Medicine Physician · NPI 1205885480

Dr. Mirko Roethlisberger, MD is an Internal Medicine Physician in The Villages, Florida. Licensed in Florida and New York. Registered with an NPI since 2006.

Licensed in
FL, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone: (352) 674-1760
Fax: (352) 674-8960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME118494 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 222082 (NY)

Record details

NPI number1205885480
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021
Mailing address1020 Lake Sumter Lndg, The Villages, FL 32162-2699

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