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NPI Code Detail

MEDICARE: INSIGHT PSYCHIATRY, LLC

MEDICARE: INSIGHT PSYCHIATRY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1245980465
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHT PSYCHIATRY, LLC
Provider Business Mailing Address
First Line : 1307 PAR VIEW DR
Second Line :
City : SANIBEL
State : FL
Zip : 33957-6409
Country : US
Telephone Number : 207-217-0140
Fax Number :
Provider Business Practice Location Address
First Line : 6811 PORTO FINO CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4354
Country : US
Telephone Number : 239-766-5693
Fax Number :
Authorized Official
Title or Position : PSYCHIATRIST
Name : DR. JILL HUSSON MARTINEZ
Credential : MD
Telephone Number : 239-766-5693
Provider Enumeration Date : 03/29/2022
Last Update Date : 03/29/2022

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Directions to “INSIGHT PSYCHIATRY, LLC ” Practice Location

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