IndividualActive
Jeffrey Innis, MD
NPI 1053321679 · Clinical Molecular Genetics Physician · Estero, FL
Provider details
- NPI number
- 1053321679
- Entity type
- Individual
- Primary specialty
- Clinical Molecular Genetics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301058671 (MI)
Practice location
23450 Via Coconut PT
Estero, FL 34135-1877
Phone: (239) 468-0210
Fax: (239) 343-4236
Mailing address
Po Box 2147
Fort Myers, FL 33902-2147
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.