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

Laura Annette Roth, PA-C

Individual provider Physician Assistant · NPI 1811687106

Laura Annette Roth, PA-C is a Physician Assistant in Lady Lake, Florida. Qualified in 2023, 3 years ago. Practices with Florida Cancer Specialists and Research Institute, LLC, a 460-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1400 N US Highway 441
Lady Lake, FL 32159-8975
Phone: (352) 753-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 601 E Dixie Ave Ste 1001, Leesburg, FL 34748-7309 — (352) 787-9448
  • 2955 Brownwood Blvd, The Villages, FL 32163-2039 — (352) 765-7100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9117394 (FL)

Record details

NPI number1811687106
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 10, 2023
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Florida Cancer Specialists And Research Institute, Llc — 460 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lady Lake