Organization
ISLAND CITY URGENT CARE PA
Active
Parent organization
ISLAND CITY URGENT CARE PA
Other names
Island City Urgent Care and Medical Center, Island City Urgent Care, Island City Urgent Care & Medical Center, Island City Urgent Care PA, Island City Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISLAND CITY URGENT CARE PA
Authorized official
KYLE J OLEARY APRN (OWNER)
(954) 391-7160
Entity
Organization
Contact information
Practice address
1442 NE 26TH ST, WILTON MANORS, FL 33305-1322
(954) 391-7160
(954) 393-0811
Mailing address
1442 NE 26TH ST, WILTON MANORS, FL 33305-1322
(954) 391-7160
(954) 393-0811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
305S00000X
Point of Service
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003647587
NPI
FL
01
—
10D2317428
CLIA
FL
01
—
11021418
APRN
FL
01
—
1245103449
NPI
FL
05
—
124809600
—
FL
01
—
1417679762
NPI
FL
01
—
82907
PHARMACY
FL
01
—
JR5657900
RADIOLOGYXRAY
FL
05
—
TU148
—
FL
05
—
TU149
—
FL
Enumeration date
08/08/2024
Last updated
05/05/2026
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