Widboom, Nathan Patrick

Widboom, Nathan Patrick is an individual health care provider with primary practice located at 7031 Sw 62Nd Ave , South Miami FL 33143-4701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Widboom, Nathan Patrick can be contacted via phone (305) 284-7761.

Contact Information

Primary practice address
7031 Sw 62Nd Ave South Miami FL 33143-4701
Phone: (305) 284-7761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS13591 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X OS13591 Florida

Profile Details

NPI number 1144565532
LBN Legal business name Widboom, Nathan Patrick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2012
Last updated Feb 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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