Whalio Doctors

NPI 1053321679

Jeffrey Winfield Innis, MD

Practitioner Clinical Molecular Genetics Physician Estero, FL

Practice location

Address
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

Registered specialties (3)

Clinical Molecular Genetics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207SG0203X Licence ME152778 (FL)
Clinical Genetics (M.D.) Physician
Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 4301058671 (MI)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 4301058671 (MI)

Registry record

NPI
1053321679
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Aug 2006
Record last updated
4 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.