Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Wideroff, MD

Individual provider Specialist · NPI 1215925367

Dr. Jonathan Wideroff, MD is a Specialist in Boca Raton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1601 Clint Moore Rd Ste 145
Boca Raton, FL 33487-5720
Phone: (561) 288-2537
Fax: (561) 939-5460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME35997 (FL)
Specialist Taxonomy 174400000X · Licence ME35997 (FL)

Record details

NPI number1215925367
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 12, 2005
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020
Mailing address1601 Clint Moore Rd, Suite 145, Boca Raton, FL 33487-2768

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