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

Island Coast Dermatology, PA

Organization Dermatology Physician · NPI 1295886539

Island Coast Dermatology, PA is a Dermatology Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

7310 College Pkwy
Fort Myers, FL 33907-5503
Phone: (239) 768-6100
Fax: (239) 561-3763
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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 OS0006359 (FL)

Record details

NPI number1295886539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Martin — Sole Proprietor · (239) 768-6100
Other names Island Coast Dermatology, Pa
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJune 24, 2008
Mailing address7310 College Pkwy, Fort Myers, FL 33907-5503

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