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Organization
ISLAND CITY URGENT CARE PA
Active
Organization
ISLAND CITY URGENT CARE PA
Active
Parent organization
ISLAND CITY URGENT CARE PA
Other names
Island City Urgent Care, Island City Urgent Care PA, Island City Med Center, Island City Medical Center, Island City Urgent Care & Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISLAND CITY URGENT CARE PA
Authorized official
KYLE J OLEARY APRN (OWNER)
(954) 391-7160
Entity
Organization
Contact information
Practice address
1442 NE 26TH ST, WILTON MANORS, FL 33305-1322
(954) 391-7160
(954) 393-0811
Mailing address
1442 NE 26TH ST, WILTON MANORS, FL 33305-1322
(954) 391-7160
(954) 393-0811
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
305S00000X
Point of Service
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003647587
NPI-GROUP
FL
01
—
10D2317428
CLIA
FL
01
—
11021418
APRN
FL
01
—
1245103349
NPI
FL
05
—
124809600
—
FL
01
—
1417679762
NPI-INDIVIDUAL
FL
01
—
15988989
CAHQ
FL
01
—
82907
PHARMACY
FL
01
—
ALA
FLORIDABLUE
FL
01
—
JR5657900
XRAY
FL
Enumeration date
09/25/2025
Last updated
08/05/2026
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