Innis, Jeffrey Winfield

Innis, Jeffrey Winfield is an individual health care provider with primary practice located at 23450 Via Coconut Pt , Estero FL 34135-1877. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Molecular Genetics. Allopathic & Osteopathic Physicians / Clinical Molecular Genetics is his primary health care specialty. Innis, Jeffrey Winfield can be contacted via phone (239) 468-0210.

Contact Information

Primary practice address
23450 Via Coconut Pt Estero FL 34135-1877
Phone: (239) 468-0210
Fax: (239) 343-4236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 4301058671 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301058671 Michigan
Allopathic & Osteopathic Physicians / Clinical Molecular Genetics 207SG0203X ME152778 Florida

Profile Details

NPI number 1053321679
LBN Legal business name Innis, Jeffrey Winfield
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Apr 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053321679 NPPES
Florida MEDICAID 113233700
Florida MEDICAID 2774825

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