Island ENT LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ISLAND ENT LLC

Practice address

901 Venetia Bay Blvd Ste 350
Venice, FL 34285-8052

Phone

(941) 786-0386

Fax

(941) 786-0386

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Joy Clark

Title

Business Owner/ Manager

Phone

(941) 786-0386

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Michael Jonathan Clark, M.D.

  • Otolaryngology Physician
  • Venice, FL
  • NPI 1619134970
  Medicare reassignment Care Compare group NPD
• David Sean Middleton, PA-C

  • Physician Assistant
  • Fort Myers, FL
  • NPI 1376092973
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1366165607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VENETIA BAY BLVD STE 350",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858052",
            "telephone_number": "941-786-0386",
            "fax_number": "941-786-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VENETIA BAY BLVD STE 350",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858052",
            "telephone_number": "941-786-0386",
            "fax_number": "941-786-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "BUSINESS OWNER/ MANAGER",
        "authorized_official_telephone_number": "941-786-0386",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intl Alf LLC
• Intl Alf LLC Dba Venice Green Village
• Ireland Consulting LLC
• John Andrew Ireland, MSW, LCSW
• Isabella Medical Corporation
• Island Hospitalist Group
• Issa Rehab Services Corporation
• J & J Will-Care, Inc.
• Jacaranda Family Medicine P a
• Jacaranda Pointe Anesthesia PL

• Medical Specialty Clinic/Center in Venice, FL
• Providers in Venice, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.