Organization
ISLAND PARK PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA FOX PMHNP-BC (CEO)
(239) 837-8400
Entity
Organization
Contact information
Practice address
17578 BLACKFRIAR DR, FORT MYERS, FL 33908-4444
(239) 837-8400
Mailing address
19451 S TAMIAMI TRL STE 12, FORT MYERS, FL 33908-4815
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
02/14/2025
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