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

John Widergren

Individual provider Surgery Physician · NPI 1144290628

John Widergren is a Surgery Physician in Jacksonville, Florida. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-5005
Phone: (904) 215-7720
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 41739-020 (WI)

Record details

NPI number1144290628
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1859 Salt Myrtle Ln, Orange Park, FL 32003-7062

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