Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Internal Medicine Specialists, PA

Organization Internal Medicine Physician · NPI 1215914072

Coastal Internal Medicine Specialists, PA is an Internal Medicine Physician in Fort Myers, Florida. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5172 Mason Corbin Ct Ste 1
Fort Myers, FL 33907-7533
Phone: (239) 936-7171
Fax: (239) 936-7455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1215914072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Martin — President · (239) 936-7171
NPI enumeratedDecember 22, 2005
Last updated in NPPESFebruary 2, 2016
Mailing address5172 Mason Corbin Court, Ste 1, Fort Myers, FL 33907-7533

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