| Island City Urgent Care Pa | |
|
1442 Ne 26th St Wilton Manors FL 33305-1322 | |
| (954) 391-7160 | |
| (954) 393-0811 |
| Full Name | Island City Urgent Care Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1442 Ne 26th St, Wilton Manors, Florida |
| Authorized Official Name and Position | Kyle J Oleary (OWNER) |
| Authorized Official Contact | 9543917160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island City Urgent Care Pa 1442 Ne 26th St Wilton Manors FL 33305-1322 Ph: (954) 391-7160 | Island City Urgent Care Pa 1442 Ne 26th St Wilton Manors FL 33305-1322 Ph: (954) 391-7160 |
| NPI Number | 1003647587 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 05/05/2026 |
| Medicare PECOS PAC ID | 6305378522 |
|---|---|
| Medicare Enrollment ID | O20241014000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003647587 | NPI | - | NPPES |
| 1245103449 | Other | FL | NPI |
| 124809600 | Medicaid | FL | |
| 82907 | Other | FL | PHARMACY |
| 11021418 | Other | FL | APRN |
| 1417679762 | Other | FL | NPI |
| 1003647587 | Other | FL | NPI |
| 10D2317428 | Other | FL | CLIA |
| JR5657900 | Other | FL | RADIOLOGYXRAY |
| Provider Name | Kyle James Oleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417679762 PECOS PAC ID: 7113459330 Enrollment ID: I20241014001068 |
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