Individual
DR. TIM M VERWEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9371 CYPRESS LAKE DR, SUITE7, FORT MYERS, FL 33919-4939
(239) 482-2722
(239) 482-7877
Mailing address
9371 CYPRESS LAKE DR, SUITE7, FORT MYERS, FL 33919-4939
(239) 482-2722
(239) 482-7877
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073699600
—
FL
05
—
073699601
—
FL
Enumeration date
02/13/2006
Last updated
06/26/2013
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