OrganizationActive
Island Coast Pediatrics
NPI 1215962386 · Pediatrics Physician · Fort Myers, FL
Provider details
- NPI number
- 1215962386
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Holly Velez, Practice Administrat(239) 768-2111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13650 Metropolis Avenue
Suite 101
Fort Myers, FL 33912
Phone: (239) 768-2111
Fax: (239) 768-2113
Street-level locationGet directions
Mailing address
12550 Professional Park Drive
Fort Myers, FL 33913
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.