Michael Paul Widick MD

NPI 1164420071 - Otolaryngology - 207YX0602X

NPI Details
NPI 1164420071
Gender Male
Enumeration Date 07/13/2005
Last Updated 02/27/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
333 W COCOA BEACH CSWY
SUITE B
COCOA BEACH FL, 32931-3513, US
Phone (321) 799-9797
Fax (321) 799-3393
Business Location
333 W COCOA BEACH CSWY
SUITE B
COCOA BEACH FL, 32931-3513, US
Phone (321) 799-9797
Fax (321) 799-3393
Toxanomy
Taxonomy Code 207YX0602X
License State Florida
License Number ME0061454
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According to our database, Dr. Michael Paul Widick MD NPI is 1164420071, taxonomy code is 207YX0602X and license number is ME0061454, license state is located at Florida. Michael Paul Widick MD physically located at 333 W Cocoa Beach Cswy, Cocoa Beach FL, 32931-3513. NPI Number Michael Paul Widick MD has the Individual type.

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1164420071 NPI number is provided on an as is basis without warranty of any kind. 1164420071 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Paul Widick MD are for informational purposes only.