Widom Chiropractic Offices PA

NPI #1558628123 in Naples, Florida

Provider Information

NPI Number: 1558628123
Entity Type: Organization
Organization Name: Widom Chiropractic Offices PA
Primary Specialty: Chiropractor
Enumeration Date: Apr 19, 2012
Last Updated: Oct 22, 2012

Practice Location

Address: 5385 PARK CENTRAL CT
City: Naples
State: Florida
ZIP Code: 34109-5932
Phone: (239) 596-9050

Authorized Official

Name: DR. GAVIN JAY WIDOM, DC
Title: OWNER
Phone: (239) 263-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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