Individual
DR. DAVID J WIDMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1500 E VENICE AVE UNIT 103, VENICE, FL 34292
(941) 485-4700
(941) 485-2888
Mailing address
1500 E VENICE AVE UNIT 103, VENICE, FL 34292-1663
(941) 485-4700
(941) 485-2888
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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