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Organization
ISLAND WELLNESS CLINIC
Active
Organization
ISLAND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHARLES (OWNER)
(516) 366-4144
Entity
Organization
Contact information
Practice address
8229 PACIFIC BEACH DR, FORT MYERS, FL 33966-7974
(516) 366-4144
Mailing address
8229 PACIFIC BEACH DR, FORT MYERS, FL 33966-7974
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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