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Individual
DR. DAVID J WIDMYER
Active
Individual
DR. DAVID J WIDMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS016250
PA
207RN0300X
Nephrology Physician
Primary
OS15121
FL
Other
Enumeration date
06/18/2009
Last updated
08/28/2018
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