Organization Active NPI

Ily Medical Corps LLC

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1356293187
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ILY MEDICAL CORPS LLC
Practice address
23442 Moreland Ave
Port Charlotte, FL 33954-2558
Phone
(239) 738-1113
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ieleth Sahily Lopez Valladares, APRNNPI 1306695168
Title
President
Phone
(239) 738-1113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

23442 Moreland Ave
Port Charlotte, FL 33954-2558

Mailing address

23442 Moreland Ave
Port Charlotte, FL 33954-2558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1356293187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23442 MORELAND AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23442 MORELAND AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542558",
            "telephone_number": "239-738-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILY MEDICAL CORPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ VALLADARES",
        "authorized_official_first_name": "IELETH",
        "authorized_official_middle_name": "SAHILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-738-1113",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.