Michael Widick, MD

NPI 1164420071 · on the registry since 2005 · sole proprietor

Practice

Address: 333 W Cocoa Beach Cswy
Suite B
Cocoa Beach, FL 32931
Phone: (321) 799-9797
Fax: (321) 799-3393
Organisation at this address: Atlantic Ent Llc
Vincent P Marino Md Pa
The Model Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207Y00000X
207Y00000X
Also registered as: 207YX0602X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida