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Individual

MATTHEW WIDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 S PINE ISLAND RD STE 300, PLANTATION, FL 33324-3179
(954) 473-6344
(954) 476-9077
Mailing address
600 S PINE ISLAND RD STE 300, PLANTATION, FL 33324-3179
(954) 473-6344

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME155665
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME155665
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME155665
FL

Other

Enumeration date
03/29/2016
Last updated
05/31/2023
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