Individual
MARILYN KOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 343-1105
(239) 343-1106
Mailing address
PO BOX 2147, FT MYERS, FL 33902-2147
(239) 343-1262
(239) 343-0290
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME69317
FL
207RP1001X
Pulmonary Disease Physician
ME0069317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272499500
—
FL
Enumeration date
09/30/2005
Last updated
03/29/2021
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