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

Dr. Nathan Patrick Widboom, DO

Individual provider Family Medicine Physician · NPI 1144565532

Dr. Nathan Patrick Widboom, DO is a Family Practice in South Miami, Florida. Qualified in 2012, 14 years ago. Practices with Nova Southeastern University Inc, a 94-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone: (305) 284-7761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence OS13591 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS13591 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144565532
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 11, 2012
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020
Mailing address7031 Sw 62nd Ave, South Miami, FL 33143-4701

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Nova Southeastern University Inc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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