Individual
JESSICA GROTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8380 RIVERWALK PARK BLVD STE 100, FORT MYERS, FL 33919-8758
(239) 343-9960
(239) 343-9977
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9960
(239) 343-9977
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101021513
MI
208600000X
Surgery Physician
Primary
OS16972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107137400
—
FL
Enumeration date
04/14/2015
Last updated
03/30/2026
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