Individual
DR. MARTIN KALISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12430 PEBBLE STONE CT, FORT MYERS, FL 33913-6759
(239) 482-2020
(239) 482-2020
Mailing address
12430 PEBBLE STONE CT, FORT MYERS, FL 33913-6759
(239) 482-2020
(239) 482-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PA0000EG375
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2227085000
IBX KEYSTONE HMO
—
Enumeration date
07/11/2006
Last updated
07/08/2007
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