Individual provider · Type 1 NPI
Jessie Martin, MD
General Practice Physician · Fort Myers, FL
NPI number
1073547972
Active
Practice location
1415 Colonial Blvd Ste 1
Fort Myers, FL 33907
Mailing address
8140 Liriope Loop
Lehigh Acres, FL 33972-7546
Other practice locations
- 1301 Ks Hwy 264, Larned, KS 67550-9365 · (620) 285-4580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ACN783 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1073547972
Jessie Martin, MD's National Provider Identifier is 1073547972, issued on Jul 10, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 24, 2018.