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Contact Information

ISLAND COAST PEDIATRICS
13650 METROPOLIS AVENUE
SUITE 101
FORT MYERS, FL33912
 Phone: 239-768-2111
 Fax: 239-768-2113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ISLAND COAST PEDIATRICS · (Female)

NPI Number 1215962386
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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