MARLENE S MOULTON


Address: 14090 Metropolis Ave, Suite 102, Fort Myers, FL 33912-4450
Phone: 2399852600

MARLENE S MOULTON (NPI# 1548396047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548396047
Entity Type Individual
Full Name MARLENE S MOULTON
Other Name DR. MARLENE ST. JOAN MOULTON
Credential M.D.
Practice Address 14090 Metropolis Ave
Suite 102
Fort Myers
FL 33912-4450
Mailing Address 13421 Parker Commons Blvd
Ste 101
Fort Myers
FL 33912-2076
Practice Telephone 2399852600
Practice Fax Number 2399850103
Mailing Telephone 2399852600
Mailing Fax Number 2399850103
Enumeration Date 2007-02-26
Last Update Date 2016-06-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ME94816 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 281398000 05
FL 01028400 05

Office Location

Street Address 14090 METROPOLIS AVE
SUITE 102
City FORT MYERS
State FL
Zip Code 33912-4450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265492565 Audrey Eshrat Farahmand Plastic Surgery 14090 Metropolis Ave, Suite #102, Fort Myers, FL 33912 2006-03-23
1306251293 West Wind Chiropractic LLC Chiropractor 14090 Metropolis Ave, Ste 101, Fort Myers, FL 33912-4450 2014-06-30
1740694843 Sean Keith Padgett Chiropractor 14090 Metropolis Ave, Ste 101, Fort Myers, FL 33912-4450 2014-06-17
1003065202 John Howard Kellenberger Sr. Chiropractor 14090 Metropolis Ave, Suite 101, Fort Myers, FL 33912-4450 2008-09-11
1639339559 Stevens Family Chiropractic P L Chiropractor 14090 Metropolis Ave, Ste 101, Fort Myers, FL 33912-4450 2008-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134684814 Performance Health Surgery Center Clinic/Center 9500 Gulf Research Lane, Fort Myers, FL 33912 2019-02-06
1609351899 Voa Lee County Health Care Facility, Inc. Skilled Nursing Facility 14750 Hope Center Loop, Ft. Myers, FL 33912 2018-10-03
1245719954 Lauren Grimes Pharmacist 13711 S Tamiami Trail, Fort Myers, FL 33912 2018-08-13
1972080828 Solaris Rehab, LLC Clinic/Center 14001 Metro Parkway, Fort Myers, FL 33912 2018-07-24
1467943803 Marie Veronica Scott Nurse Practitioner 14015 Danpak Loop, Fort Myers, FL 33912 2018-05-22
1952892291 Daniels Modern Dentistry, Pa Dentist 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 2018-05-22
1295258994 Julie Ann Jakobi Counselor 18 Quanery Court, Fort Myers, FL 33912 2017-07-25
1205359908 Maria Reyes Developmental Therapist 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 2017-07-25
1669919288 Darinka Ruiz Social Worker 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 2017-01-20
1730622598 Valerie Starnes Nurse Practitioner 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 2016-11-28
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104423862 Lee Senior Services, LLC Internal Medicine 4100 Center Pointe Dr Ste 111&112, Fort Myers, FL 33916-9460 2020-10-06
1396366985 Tritel Concierge Medicine LLC Internal Medicine 6846 International Center Blvd Ste A, Fort Myers, FL 33912-7155 2020-05-05
1861031015 Priority Health Medical Center Internal Medicine 3660 Central Ave Ste 6, Fort Myers, FL 33901-7647 2020-01-04
1609334796 Rifmetic Internal Medicine 3910 Williamson Rd, Fort Myers, FL 33905-6208 2019-03-07
1215309331 Axel1 Health LLC Internal Medicine 4820 Griffin Blvd, Fort Myers, FL 33908-2016 2015-10-28
1518337492 Barry K Butler P.a. Internal Medicine 10708 Bradbury Way, Fort Myers, FL 33913 2015-10-05
1639548225 Colonia Medical Specialty Group Internal Medicine 4531 Deleon St Ste 207, Fort Myers, FL 33907-1280 2015-09-24
1659756476 Sean Hess Internal Medicine 9671 Gladiolus Dr Ste 104, Fort Myers, FL 33908-7684 2015-07-22
1114326774 Quiles Cruz Medical Services Pa Internal Medicine 8112 Felisa Ct, Fort Myers, FL 33912-8951 2014-08-20
1144589854 Seth William Jelinek Internal Medicine 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 2012-05-15
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33912

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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