Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Grayson Edward Roth

Individual provider Internal Medicine Physician · NPI 1518805878

Grayson Edward Roth is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence UO11753 (FL)

Record details

NPI number1518805878
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2026
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 18, 2026

Other providers in Jacksonville