OrganizationActive
Gulfshore Dermatology, P.A.
NPI 1205353687 · Dermatology Physician · Fort Myers, FL
Provider details
- NPI number
- 1205353687
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Martin, President / Physician(239) 415-0004
- License
- OS6359 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15620 New Hampshire Ct
Fort Myers, FL 33908-4168
Phone: (239) 415-0004
Street-level locationGet directions
Mailing address
Po Box 835
Trussville, AL 35173-0835
Registry dates
- Enumerated
- 2017-08-25
- Last updated
- 2017-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.