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Individual

DR. REBECCA J. ENSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
7152 COCA SABAL LN, FORT MYERS, FL 33908-4263
(239) 939-9939
(239) 931-5060
Mailing address
7152 COCA SABAL LN, FORT MYERS, FL 33908-4263
(239) 939-9939
(239) 931-5060

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
207R00000X
Internal Medicine Physician
20A9934
CA
207RG0100X
Gastroenterology Physician
20A9934
CA
207RG0100X
Gastroenterology Physician
Primary
OS15827
FL

Other

Enumeration date
01/03/2007
Last updated
01/10/2020
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