OrganizationActive
Island Coast Primary Care Project, Inc.
NPI 1003198565 · Pediatric Skilled Nursing Facility · Fort Myers, FL
Provider details
- NPI number
- 1003198565
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Cathy Jones, Program Administrator
Practice location
4150 Ford Street Ext Ste 1b
Fort Myers, FL 33916-9498
Phone: (239) 467-8375
Fax: (239) 461-7639
Mailing address
4150 Ford Street Ext Ste 1b
Fort Myers, FL 33916-9498
Registry dates
- Enumerated
- 2011-09-12
- Last updated
- 2011-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.