Organization · Type 2 NPI

Island Coast Primary Care Project, Inc.

Pediatric Skilled Nursing Facility · Fort Myers, FL

NPI number 1003198565 Active

Practice location

4150 Ford Street Ext Ste 1B
Fort Myers, FL 33916-9498

Fax (239) 461-7639

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Pediatric Skilled Nursing Facility Primary 3140N1450XNone listed

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

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About NPI 1003198565

Island Coast Primary Care Project, Inc.'s National Provider Identifier is 1003198565, issued on Sep 12, 2011. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Fort Myers, FL. The record was last updated on Sep 12, 2011.