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

Gulfshore Dermatology, PA

Organization Dermatology Physician · NPI 1205353687

Gulfshore Dermatology, PA is a Dermatology Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
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

15620 New Hampshire Ct
Fort Myers, FL 33908-4168
Phone: (239) 415-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS6359 (FL)

Record details

NPI number1205353687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Martin — President / Physician · (239) 415-0004
NPI enumeratedAugust 25, 2017
Last updated in NPPESAugust 25, 2017
Mailing addressPo Box 835, Trussville, AL 35173-0835

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