# ISLAND CITY URGENT CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ISLAND CITY URGENT CARE PA
- **Other names:** Island City Urgent Care and Medical Center, Island City Urgent Care, Island City Urgent Care & Medical Center, Island City Urgent Care PA, Island City Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003647587
- **Legal business name:** ISLAND CITY URGENT CARE PA
- **Authorized official:** KYLE J OLEARY APRN (OWNER)
- **Authorized official phone:** (954) 391-7160

## Contact information

- **Practice address:** 1442 NE 26TH ST, WILTON MANORS, FL 33305-1322
- **Practice address phone:** (954) 391-7160
- **Practice address fax:** (954) 393-0811
- **Mailing address:** 1442 NE 26TH ST, WILTON MANORS, FL 33305-1322
- **Mailing address phone:** (954) 391-7160
- **Mailing address fax:** (954) 393-0811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | NULL | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/08/2024
- **Last updated:** 08/05/2026