Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL PAUL WIDICK, MD
Active Sole ProprietorDR. MICHAEL PAUL WIDICK, MD is a Otolaryngology healthcare provider located in COCOA BEACH, Florida. NPI 1164420071 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · COCOA BEACH, FL
Registration Details
- NPI Number
- 1164420071
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2005 (21.122561002255 yrs)
- Last Updated
- Feb 27, 2013
- Licenses
-
ME0061454 (FL)ME0061454 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 W COCOA BEACH CSWYSUITE BCOCOA BEACH, FL, 329313513Browse FL providers · Browse ZIP 32931
- Phone
- 3217999797
- Fax
- 3217993393
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otology & Neurotology
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.