Individual
ANNA M WIDMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6274 LAKE OSPREY DR, LAKEWOOD RANCH, FL 34240-8425
(941) 500-3350
(941) 220-4338
Mailing address
6274 LAKE OSPREY DR, LAKEWOOD RANCH, FL 34240-8425
(941) 500-3350
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME134153
FL
208600000X
Surgery Physician
MD452141
PA
208600000X
Surgery Physician
MT194596
PA
Other
Enumeration date
06/18/2009
Last updated
07/11/2024
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