Organization
COASTAL INTERNAL MEDICINE SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G. MARTIN D.O. (PRESIDENT)
(239) 936-7171
Entity
Organization
Contact information
Practice address
5172 MASON CORBIN COURT, STE 1, FORT MYERS, FL 33907-7533
(239) 936-7171
(239) 936-7455
Mailing address
5172 MASON CORBIN COURT, STE 1, FORT MYERS, FL 33907-7533
(239) 936-7171
(239) 936-7455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2005
Last updated
02/02/2016
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