ISLAND WELLNESS CLINIC NPI 1578453551

NPI Information

  • NPI: 1578453551
  • Provider Name: ISLAND WELLNESS CLINIC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 8229 PACIFIC BEACH DR
    FORT MYERS, FL
    ZIP 33966
  • Phone: (516) 366-4144

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NPI Details

ISLAND WELLNESS CLINIC is a family nurse practitioner in Fort Myers, FL. ISLAND WELLNESS CLINIC NPI is 1578453551. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8229 PACIFIC BEACH DR
FORT MYERS, FL
ZIP 33966-974
Phone: (516) 366-4144

The provider's authorized official is Nicole Charles .
The authorized official title is Owner and has the following contact phone number (516) 366-4144.

The enumeration date for this NPI number is 7/9/2025 and was last updated on 7/9/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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