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

Dr. Walter E Roth III, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1275501876

Dr. Walter E Roth III, DPM is a Podiatry in Lake Mary, Florida. Graduated from California School of Podiatric Medicine in 1985, 41 years ago. Practices with Florida Foot and Ankle Group PA, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
41
Trained at
California School of Podiatric Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

925 Williston Park Pt Ste 1009
Lake Mary, FL 32746-2114
Phone: (407) 323-2566
Fax: (407) 324-3577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO0001719 (FL)

Record details

NPI number1275501876
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESApril 6, 2024
Certification dateApril 6, 2024
Mailing address925 Williston Park Pt, Suite 1009, Lake Mary, FL 32746-2114

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1985 (41 years in practice)
Group practice Florida Foot And Ankle Group Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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