Organization
ISLAND COAST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY VELEZ (PRACTICE ADMINISTRAT)
(239) 768-2111
Entity
Organization
Contact information
Practice address
13650 METROPOLIS AVENUE, SUITE 101, FORT MYERS, FL 33912
(239) 768-2111
(239) 768-2113
Mailing address
12550 PROFESSIONAL PARK DRIVE, SUITE 11, FORT MYERS, FL 33913
(239) 768-2111
(239) 482-4404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
FL
Other
Enumeration date
07/11/2006
Last updated
07/21/2022
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