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

William Roth, MD

Individual provider Dermatology Physician · NPI 1902879307

William Roth, MD is a Dermatology in Lakeland, Florida. Graduated from State University of New York at Stony Brook, School of Medicine in 1990, 36 years ago. Practices with Watson Clinic LLP, a 362-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
36
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
FL
In the registry since
2006
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

1755 N Florida Ave
Lakeland, FL 33805-3109
Phone: (863) 904-6201
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME65881 (FL)

Record details

NPI number1902879307
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 23, 2020
Mailing address1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Watson Clinic Llp — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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