# 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, 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:** 1245103449
- **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 |
| --- | --- | --- | --- | --- |
| 207ZC0006X | Clinical Pathology Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 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

- **Enumeration date:** 09/25/2025
- **Last updated:** 08/05/2026

## 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 |