Individual
DR. TIMOTHY L. KERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15465 TAMIAMI TRL N, NAPLES, FL 34110-6216
(239) 429-0200
(239) 421-8209
Mailing address
1205 POCANTICO LN, NAPLES, FL 34110-0923
(239) 300-1911
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
A91189
CA
2085R0001X
Radiation Oncology Physician
Primary
ME101714
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710000
—
FL
01
—
1003459
WELLCARE
FL
01
—
10T819
HEALTHY KIDS
FL
01
—
319019
AVMED
FL
01
—
8467004
CIGNA
FL
01
—
9863140
AETNA
FL
01
—
P01210193
RAILROAD MCR
FL
01
—
P106298
FREEDOM HEALTH
FL
Enumeration date
12/08/2006
Last updated
04/22/2022
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