Individual provider · Type 1 NPI

Matthew Julian Wideroff, MD

Surgery Physician · Palm Coast, FL

NPI number 1134448129 Active

Practice location

61 Memorial Medical Pkwy Ste 3805
Palm Coast, FL 32164-5982

Fax (386) 586-1607

Mailing address

PO Box 935921
Atlanta, GA 31193-5921

Other practice locations

  • 2805 5th St, Rapid City, SD 57701 · (605) 755-5700

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XME167382 (FL)
Surgery Physician 208600000X9934 (SD)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1134448129

Matthew Julian Wideroff, MD's National Provider Identifier is 1134448129, issued on May 31, 2010. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Palm Coast, FL. The record was last updated on Aug 7, 2024.