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 provides Dermatology Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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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