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Contact Information

JEFFREY W INNIS, MD
23450 VIA COCONUT PT
ESTERO, FL34135-1877
 Phone: 239-468-0210
 Fax: 239-343-4236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Molecular Genetics

207SG0203X
 

Clinical Genetics (M.D.)

207SG0201X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY W INNIS · (Male)

NPI Number 1053321679
Status Active
Credentials MD
Entity Individual
Enumeration date 08/08/2006
Last updated 04/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME152778
  • MI License # 4301058671
  • FL Medicaid 113233700
  • MI Medicaid 2774825
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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