Deshommes, Widdler

Deshommes, Widdler is an individual health care provider with primary practice located at 4601 N Highway 19A , Mount Dora FL 32757-2039. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Deshommes, Widdler can be contacted via phone (352) 290-8718.

Contact Information

Primary practice address
4601 N Highway 19A Mount Dora FL 32757-2039
Phone: (352) 290-8718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 023661 Puerto Rico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000229-P.A Puerto Rico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8363 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TPPA363 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN1610 Florida

Profile Details

NPI number 1376172015
LBN Legal business name Deshommes, Widdler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2020
Last updated Mar 8th, 2024 - about 2 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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