Individual
DR. MARK H WIDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5130 LINTON BLVD STE E2, DELRAY BEACH, FL 33484-6595
(561) 391-3333
(561) 391-5618
Mailing address
900 NW 13TH ST, SUITE 206, BOCA RATON, FL 33486-2350
(561) 338-3267
(561) 391-4420
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME65602
FL
207YX0901X
Otology & Neurotology Physician
Primary
ME65602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253536000
—
FL
Enumeration date
04/17/2006
Last updated
12/04/2024
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