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ISLAND ENT LLC
NPI 1366165607
Clinic/Center - Medical Specialty in Venice, FL

Active since September 21, 2022
901 VENETIA BAY BLVD STE 350, VENICE, FL 34285(941) 786-0386(941) 786-0386 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2025, Sep 21, 2022 (2 updates tracked since 2022).

About Island Ent Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISLAND ENT LLC (NPI 1366165607) is a healthcare organization registered as a medical specialty in Venice, Florida and active in the NPI registry since September 2022. The organization lists Heather Joy Clark, Business Owner/ Manager, as its authorized official.

NPPES Registry Identity

NPI1366165607
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameISLAND ENT LLC
Location Address901 VENETIA BAY BLVD STE 350Venice, FL 34285-8052
Mailing Address901 Venetia Bay Blvd Ste 350Venice, FL 34285-8052 · (941) 786-0386 · Fax (941) 786-0386
Phone(941) 786-0386
Fax(941) 786-0386
Organization SubpartNo
Authorized OfficialHeather Joy ClarkBusiness Owner/ Manager · (941) 786-0386
Enumeration DateSeptember 21, 2022
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1366165607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedHearing Aid EquipmentTaxonomy 332S00000X
901 VENETIA BAY BLVD STE 350, Venice, FL 34285
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Island Ent Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Island Ent LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Clark, M.D.
Otolaryngology
NPI 1619134970
420 NOKOMIS AVE S
Venice, FL 34285
(941) 355-2767
✔ PECOS✔ Accepts Medicare1.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Island Ent LLC's NPI number?

The NPI number for Island Ent LLC is 1366165607. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Island Ent LLC located?

Island Ent LLC is located at 901 Venetia Bay Blvd Ste 350, Venice, FL 34285. The listed phone number is (941) 786-0386.

What is Island Ent LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Island Ent LLC enrolled in Medicare?

Yes. Island Ent LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Island Ent LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Island Ent LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Island Ent LLC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.