MEDICARE: DR. WILLIAM N. HARWIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0000X	Hematology (Internal Medicine) Physician	ME35430	FL
2	207RX0202X	Medical Oncology Physician	ME35430	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	830004832	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	96339	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1164413589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM N. HARWIN M.D.

Provider Business Mailing Address
First Line	:	14270 ROYAL HARBOUR CT UNIT 1021
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-6577
Country	:	US
Telephone Number	:	239-485-2083
Fax Number	:

Provider Business Practice Location Address
First Line	:	14270 ROYAL HARBOUR CT UNIT 1021
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-6577
Country	:	US
Telephone Number	:	239-485-2083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	09/01/2023

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Directions to “ DR. WILLIAM N. HARWIN M.D.” Practice Location

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