Individual provider · Type 1 NPI

John Widergren

Surgery Physician · Jacksonville, FL

NPI number 1144290628 Active

Practice location

2080 Child St
Jacksonville, FL 32214-5005

Call (904) 215-7720 Map

Mailing address

1859 Salt Myrtle Ln
Orange Park, FL 32003-7062

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X41739-020 (WI)

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 1144290628

John Widergren's National Provider Identifier is 1144290628, issued on Jan 25, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 13, 2026.