NPI 1003198565

Island Coast Primary Care Project, INC.

Organisation Pediatric Skilled Nursing Facility Fort Myers, FL

Practice location

Address: 4150 Ford Street Ext STE 1b, Fort Myers, FL 33916-9498
Phone: (239) 467-8375
Fax: (239) 461-7639

Authorised official

Name: Cathy Jones
Title: Program Administrator
Phone: (239) 461-8375

Registered specialties (2)

Pediatric Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 3140N1450X

Other Skilled Nursing Facility providers in Florida →

Case Management Agency

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1003198565
Entity type: Organization
NPI issued: 12 Sep 2011
Record last updated: 12 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.