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Organization

ILY MEDICAL CORPS LLC

Active
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Organization

ILY MEDICAL CORPS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IELETH SAHILY LOPEZ VALLADARES APRN (PRESIDENT)
(239) 738-1113
Entity
Organization

Contact information

Practice address
23442 MORELAND AVE, PORT CHARLOTTE, FL 33954-2558
(239) 738-1113
Mailing address
23442 MORELAND AVE, PORT CHARLOTTE, FL 33954-2558

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
02/12/2026
Last updated
02/12/2026
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