Individual
DEREK W. DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3487 BROADWAY AVENUE, FORT MYERS, FL 33901-7213
(239) 334-9555
(239) 334-2832
Mailing address
3487 BROADWAY, FORT MYERS, FL 33901-7213
(239) 334-9555
(239) 334-2832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
008586
AZ
207Q00000X
Family Medicine Physician
Primary
OS12842
FL
Other
Enumeration date
07/18/2013
Last updated
06/14/2022
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