Island Coast Dermatology, Pa
LBN: Island Coast Dermatology, Pa
Island Coast Dermatology, Pa is an health care organization with primary practice located at 7310 College Pkwy , Fort Myers FL 33907-5503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Island Coast Dermatology, Pa can be contacted via phone (239) 768-6100, or through Martin, Jeffrey N via phone (239) 768-6100.
Contact Information
Primary practice address
7310 College Pkwy
Fort Myers FL 33907-5503
Phone: (239) 768-6100
Fax: (239) 561-3763
Website:
Authorized official contact:
Name: Martin, Jeffrey N Doctor of Osteopathy (DO)
Phone: (239) 768-6100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS0006359 | Florida |
Profile Details
| NPI number | 1295886539 |
|---|---|
| LBN Legal business name | Island Coast Dermatology, Pa |
| DBA Doing business as | Island Coast Dermatology, Pa |
| Authorized official | Martin, Jeffrey N Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jun 24th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295886539 | NPPES |
| Florida | Other | P00295648 | PA'S RAILROAD MEDICARE # |
| Florida | Other | 44584 | PA'S RAILROAD MEDICARE # |
| Florida | Other | DE4849 | PA'S RAILROAD MEDICARE # |
| Florida | Other | 070012707 | PA'S RAILROAD MEDICARE # |
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