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ISLAND COAST PEDIATRICS NPI 1215962386


NPI Information

NPI: 1215962386
Provider Name: ISLAND COAST PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0907332

Address:
13650 METROPOLIS AVENUE
SUITE 101
FORT MYERS, FL
ZIP 33912
Phone: (239) 768-2111
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ISLAND COAST PEDIATRICS is a pediatrics in Fort Myers, FL. The provider is 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. ISLAND COAST PEDIATRICS NPI is 1215962386. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13650 METROPOLIS AVENUE
SUITE 101
FORT MYERS, FL
ZIP 33912
Phone: (239) 768-2111
Fax: (239) 768-2113

The provider's authorized official is Holly Velez .
The authorized official title is Practice Administrat and has the following contact phone number (239) 768-2111.

The CLIA number assigned to this NPI record is 10D0907332 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 9/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics=========FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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