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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NATHAN PATRICK WIDBOOM, D.O.

Active

DR. NATHAN PATRICK WIDBOOM, D.O. is a Electrodiagnostic Medicine healthcare provider located in SOUTH MIAMI, Florida. NPI 1144565532 is currently active in the NPPES registry. Verify at CMS.

Electrodiagnostic Medicine · SOUTH MIAMI, FL

Registration Details

NPI Number
1144565532
Provider Type
Individual
Gender
Male
NPI Issued
Dec 11, 2012 (13.692154810648 yrs)
Last Updated
Feb 26, 2020
Licenses
OS13591 (FL)
OS13591 (FL)

Practice Information

Address
7031 SW 62ND AVE
SOUTH MIAMI, FL, 331434701
Browse FL providers · Browse ZIP 33143
Phone
3052847761
Primary Specialty
Electrodiagnostic Medicine
204D00000X
Additional Specialty
Electrodiagnostic Medicine

Other Electrodiagnostic Medicine Providers in SOUTH MIAMI, FL

Name Credential NPI
DR. PATRICK EUGENE BARRY D.O. 1194060756
JESSE KEMMERLIN D.O. 1841659786
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.