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

Dr. Matthew Julian Wideroff, MD

Individual provider Surgery Physician · NPI 1134448129

Dr. Matthew Julian Wideroff, MD is a General Surgery in Palm Coast, Florida. Graduated from University of Miami, Lm Miller School of Medicine in 2010, 16 years ago. Practices with Florida Hospital Healthcare Partners, Inc, a 605-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and South Dakota.

Years since qualifying
16
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
FL, SD
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

61 Memorial Medical Pkwy Ste 3805
Palm Coast, FL 32164-5982
Phone: (386) 586-1605
Fax: (386) 586-1607
Show map & directions

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

Additional practice locations (1)

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME167382 (FL)
Surgery Physician Taxonomy 208600000X · Licence 9934 (SD)

Record details

NPI number1134448129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2010
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Florida Hospital Healthcare Partners, Inc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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