# ISLAND ENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366165607
- **Authorized official:** MRS. HEATHER JOY CLARK (BUSINESS OWNER/ MANAGER)
- **Authorized official phone:** (941) 786-0386

## Contact information

- **Practice address:** 901 VENETIA BAY BLVD STE 350, VENICE, FL 34285-8052
- **Practice address phone:** (941) 786-0386
- **Practice address fax:** (941) 786-0386
- **Mailing address:** 901 VENETIA BAY BLVD STE 350, VENICE, FL 34285-8052
- **Mailing address phone:** (941) 786-0386
- **Mailing address fax:** (941) 786-0386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 332S00000X | Hearing Aid Equipment | — | NULL | — |

## Other

- **Enumeration date:** 09/21/2022
- **Last updated:** 05/16/2025