DR. JESSIE MARTIN


Address: 1415 Colonial Blvd Ste 1, Fort Myers, FL 33907
Phone: 2392024517

DR. JESSIE MARTIN (NPI# 1073547972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073547972
Entity Type Individual
Full Name DR. JESSIE MARTIN
Credential MD
Practice Address 1415 Colonial Blvd Ste 1
Fort Myers
FL 33907
Mailing Address 8140 Liriope Loop
Lehigh Acres
FL 33972-7546
Practice Telephone 2392024517
Mailing Telephone 6462676718
Enumeration Date 2006-07-10
Last Update Date 2018-07-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice ACN783 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS PERFORMING INDIV. NUMBER 105600 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1301 Ks Hwy 264, Larned, KS 675509365 6202854580 6202854579

Other Providers JESSIE MARTIN

NPI Name Taxonomy Address Enumeration
1215158217 Jessie Martin Licensed Practical Nurse 29 E. Philadelphia, Youngstown, OH 44507 2007-05-01
1750981825 Jessie Martin Chore Provider 1325 Airmotive Way, Reno, NV 89502-3201 2020-10-28
1952861197 Jessie Nicole Martin Student in an Organized Health Care Education/Training Program 5001 Hardy St, Hattiesburg, MS 39402-1308 2019-03-22
1285619049 Jessie J Martin Emergency Medicine 4535 Dressler Rd Nw, Canton, OH 44718-2545 2005-12-14

Office Location

Street Address 1415 COLONIAL BLVD STE 1
City FORT MYERS
State FL
Zip Code 33907

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134739253 Islande Dorcin Social Worker 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 2020-08-04
1003462268 Ronny Rodolfo Herrera Behavior Technician Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 2019-08-14
1528549094 Deborah Senese Streater Dentist 12530 New Brittany Blvd., Fort Myers, FL 33907 2018-08-23
1437648391 Rita Lusinete Rabitt Registered Nurse 14084 Clear Water Ln, Fort Myers, FL 33907 2018-05-07
1972092146 Surgery Centre of Sw Florida LLC Clinic/Center 13051 University Dr Ste 102, Fort Myers, FL 33907 2018-05-03
1740787761 Care Transport Inc Non-emergency Medical Transport (VAN) 7850 Reflection Cove Dr, Fort Myers, FL 33907 2018-04-06
1942730692 Concierge Care of Fort Myers, LLC In Home Supportive Care 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 2017-06-15
1710411467 Johnnie Terrell Social Worker 43 Barkley Cir #102, Fort Myers, FL 33907 2017-04-19
1881041184 Hchs Medical Center Clinic/Center 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 2016-05-17
1043665227 Tong Liu Dentist 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 2016-04-26
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922646306 Duxana Medical Center Corp General Practice 5248 Red Cedar Dr Ste 102, Fort Myers, FL 33907-4522 2019-12-16
1821573684 Healthwise Medical Practice LLC General Practice 1415 Colonial Blvd, Fort Myers, FL 33907-1043 2018-09-27
1447754825 Luis Daniel Ramos General Practice 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 2018-03-21
1952820656 Robert A Didonato General Practice 3677 Central Ave Ste K, Fort Myers, FL 33901-8226 2017-09-13
1508094335 Alexander R White General Practice 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908-7684 2009-07-01
1144472101 Eugene Angelo Cozza General Practice 59 Timberland Circle, Fort Myers, FL 33919 2008-10-21
1346365368 Vincent Go General Practice 13801 White Gardenia Way, Fort Myers, FL 33912-5678 2007-03-20
1649385790 Francisco Maximo Vazquez General Practice 4595 Palm Beach Blvd, Suite 1, Fort Myers, FL 33905-3400 2006-08-20
1902379209 Lee Memorial Health System General Practice 12550 New Brittany Blvd, Fort Myers, FL 33907-3655 2019-01-09
1316398118 Dwic of Tampa Bay, Inc General Practice 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 2016-06-23
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33907

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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