Organization · Type 2 NPI
Island Park Psychiatry LLC
Psychiatric/Mental Health Nurse Practitioner · Fort Myers, FL
NPI number
1679311708
Active
Practice location
17578 Blackfriar Dr
Fort Myers, FL 33908-4444
Mailing address
19451 S Tamiami Trl Ste 12
Fort Myers, FL 33908-4815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679311708
Island Park Psychiatry LLC's National Provider Identifier is 1679311708, issued on Jul 15, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Myers, FL. The record was last updated on Feb 14, 2025.