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NPI Code Detail

MEDICARE: DR. ANDREW PETER DERWIN DDS

MEDICARE:  DR. ANDREW PETER DERWIN  DDS
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
11223G0001XGeneral Practice Dentistry100270FL

General Provider Information

NPI Number : 1205054574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW PETER DERWIN DDS
Provider Business Mailing Address
First Line : 291 S COLLIER BLVD
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-4858
Country : US
Telephone Number : 239-394-0444
Fax Number : 239-394-9417
Provider Business Practice Location Address
First Line : 291 S COLLIER BLVD
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-4858
Country : US
Telephone Number : 239-394-0444
Fax Number : 239-394-9417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ANDREW PETER DERWIN DDS” Practice Location

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