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Jeffrey Winfield Innis, MD
Clinical Molecular Genetics Physician in Estero, Florida
NPI 1053321679

Jeffrey Winfield Innis is a Clinical Molecular Genetics Physician based in Fort Myers, FL and is specialized in Clinical Molecular Genetics. Jeffrey Winfield Innis practices in Estero, FL and has the professional credentials of MD. The NPI Number for Jeffrey Winfield Innis is 1053321679 and holds a License No. 4301058671 (Florida).

The current practice location address for Jeffrey Winfield Innis is 23450 Via Coconut Pt, Estero, FL and can be reached out via phone at 239-468-0210 and via fax at 239-343-4236.

Location: 23450 Via Coconut Pt, Estero, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053321679
Provider Name
Jeffrey Winfield Innis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
23450 Via Coconut Pt, Estero, FL, 33902-2147
Phone Number
239-468-0210
Fax Number
239-343-4236
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113233700 05 FL
2774825 05 MI
institution
Provider Business Practice Location Address Details
Address
23450 Via Coconut Pt
City
Estero
State
Florida
Zip
34135-1877
Phone Number
239-468-0210
Fax Number
239-343-4236
person
Provider Business Mailing Address Details
Address
23450 Via Coconut Pt
City
Estero
State
Florida
Zip
34135-1877
Phone Number
239-468-0210
Fax Number
239-343-4236
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
207SG0201X
License No.
ME152778 (Florida)
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Molecular Genetics
Taxonomy
207SG0203X
License No.
4301058671 (Michigan)
Definition
A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
4301058671 (Michigan)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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