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 provides Dermatology Physician services 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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