NPI 1144565532
Nathan Patrick Widboom, DO
Practice location
- Address
- 7031 SW 62nd Ave, South Miami, FL 33143-4701
- Phone
- (305) 284-7761
Registered specialties (3)
Neuromusculoskeletal Medicine & OMM Physician
Primary
Family Medicine Physician
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1144565532
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Dec 2012
- Record last updated
- 26 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.