Widick, Michael Paul

Widick, Michael Paul is an sole proprietor health care provider with primary practice located at 333 W Cocoa Beach Cswy Suite B, Cocoa Beach FL 32931-3513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Widick, Michael Paul can be contacted via phone (321) 799-9797.

Contact Information

Primary practice address
333 W Cocoa Beach Cswy Suite B Cocoa Beach FL 32931-3513
Phone: (321) 799-9797
Fax: (321) 799-3393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME0061454 Florida
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X ME0061454 Florida

Profile Details

NPI number 1164420071
LBN Legal business name Widick, Michael Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Feb 27th, 2013 - about 13 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 1164420071 NPPES
Florida MEDICAID 263517800

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