Dr. Nathan Patrick Widboom
Family Doctor Neuromusculoskeletal Medicine (NMM)
7031 Sw 62nd Ave
South Miami
, Florida 33143-4701
Dr. Nathan Patrick Widboom
Family Doctor Neuromusculoskeletal Medicine (NMM)
7031 Sw 62nd Ave
South Miami
, Florida 33143-4701
(305) 284-7761
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Nathan Patrick Widboom
- 7031 Sw 62nd Ave
- South Miami, FL
- Zip : 33143-4701
- Phone : (305) 284-7761
Second Address
- Dr. Nathan Patrick Widboom
- 7031 Sw 62nd Ave
- South Miami, FL
- Zip : 33143-4701
- Phone : (305) 284-7761
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS13591 | FL |
| N | 207Q00000X | Family Doctor | OS13591 | FL |
National Provider Identifier
| NPI | 1144565532 |
|---|---|
| Provider Name | Dr. Nathan Patrick Widboom |
| First Address | South Miami, FL 33143-4701 |
| Second Address | South Miami, FL 33143-4701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2012 |
| Last Update Date | 26/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.