Organization
GULFSHORE DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY NEAL MARTIN D.O. (PRESIDENT / PHYSICIAN)
(239) 415-0004
Entity
Organization
Contact information
Practice address
15620 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4168
(239) 415-0004
Mailing address
PO BOX 835, TRUSSVILLE, AL 35173-0835
(205) 746-7752
(205) 836-3482
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS6359
FL
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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