Healthcare Provider Details

I. General information

NPI: 1285540716
Provider Name (Legal Business Name): ISLAND EXPRESS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5348 GULF DR
HOLMES BEACH FL
34217-1775
US

IV. Provider business mailing address

5348 GULF DR
HOLMES BEACH FL
34217-1775
US

V. Phone/Fax

Practice location:
  • Phone: 315-725-2913
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ROZAR
Title or Position: ADMINISTRATOR
Credential:
Phone: 407-808-7075