Wideroff, Jonathan

Wideroff, Jonathan is an sole proprietor health care provider with primary practice located at 1601 Clint Moore Rd Ste 145 , Boca Raton FL 33487-5720. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wideroff, Jonathan can be contacted via phone (561) 288-2537.

Contact Information

Primary practice address
1601 Clint Moore Rd Ste 145 Boca Raton FL 33487-5720
Phone: (561) 288-2537
Fax: (561) 939-5460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME35997 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME35997 Florida

Profile Details

NPI number 1215925367
LBN Legal business name Wideroff, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Sep 24th, 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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