ISLAND PARK PSYCHIATRY LLC
NPI 1679311708
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL

Active since July 15, 2024
17578 BLACKFRIAR DR, FORT MYERS, FL 33908(239) 837-8400 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2025, Jul 15, 2024 (2 updates tracked since 2024).

About Island Park Psychiatry Llc NPPES

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

ISLAND PARK PSYCHIATRY LLC (NPI 1679311708) is a healthcare organization registered as a psychiatric/mental health in Fort Myers, Florida and active in the NPI registry since July 2024. The organization lists Rebecca Fox, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679311708
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameISLAND PARK PSYCHIATRY LLC
Location Address17578 BLACKFRIAR DRFort Myers, FL 33908-4444
Mailing Address19451 S Tamiami Trl Ste 12Fort Myers, FL 33908-4815
Organization SubpartNo
Authorized OfficialRebecca FoxCeo · (239) 837-8400
Enumeration DateJuly 15, 2024
Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
NPI 1679311708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
17578 BLACKFRIAR DR, Fort Myers, FL 33908

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Park Psychiatry LLC's NPI number?

The NPI number for Island Park Psychiatry LLC is 1679311708. It was assigned to this organization in the NPPES registry on July 15, 2024.

Where is Island Park Psychiatry LLC located?

Island Park Psychiatry LLC is located at 17578 Blackfriar Dr, Fort Myers, FL 33908. The listed phone number is (239) 837-8400.

What is Island Park Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Island Park Psychiatry LLC was last updated on February 14, 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.