Widick, Mark H

Widick, Mark H is an individual health care provider with primary practice located at 1601 Clint Moore Rd Suite 105, Boca Raton FL 33487-2768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Widick, Mark H can be contacted via phone (561) 391-3333.

Contact Information

Primary practice address
1601 Clint Moore Rd Suite 105 Boca Raton FL 33487-2768
Phone: (561) 391-3333
Fax: (561) 391-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME65602 Florida

Profile Details

NPI number 1871557629
LBN Legal business name Widick, Mark H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Sep 12th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871557629 NPPES
Florida MEDICAID 253536000

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