# BLUE SKY MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Sky Health and Wellness LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649055542
- **Authorized official:** EDITHA ANNE BUTLER APRN (CLINICAL DIRECTOR)
- **Authorized official phone:** (803) 260-2223

## Contact information

- **Practice address:** 3440 MARINATOWN LN STE 210, NORTH FORT MYERS, FL 33903-7049
- **Practice address phone:** (239) 230-2000
- **Practice address fax:** (239) 235-4640
- **Mailing address:** 3440 MARINATOWN LN STE 210, NORTH FORT MYERS, FL 33903-7049
- **Mailing address phone:** (239) 230-2000
- **Mailing address fax:** (239) 235-4640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2023
- **Last updated:** 08/31/2025