Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Island Park Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1679311708

Island Park Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Fort Myers, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17578 Blackfriar Dr
Fort Myers, FL 33908-4444
Phone: (239) 837-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1679311708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Fox — Ceo · (239) 837-8400
NPI enumeratedJuly 15, 2024
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025
Mailing address19451 S Tamiami Trl Ste 12, Fort Myers, FL 33908-4815

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