Individual provider Active NPI

Islande Joseph Fleuridor

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1679331318
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023207790 Issued in FL
Practice address
11313 Pond Cypress St
Fort Myers, FL 33913-8824
Phone
(239) 878-8129
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023207790 FL Primary

Addresses

Primary practice location

11313 Pond Cypress St
Fort Myers, FL 33913-8824

Mailing address

11313 Pond Cypress St
Fort Myers, FL 33913-8824
Phone (239) 878-8129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508001905 FL Practitioner - Nurse Practitioner 9537500541 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nexus Wound Consultants LLCGroup PAC ID 7719337617, 3 clinicians

Practice addresses (Care Compare)

1200 S Pine Island Rd
Plantation, FL 33324-4409
Phone (830) 285-8882

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023207790FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Wound Consultants LLC CurrentSince Jul 1, 2024 Accepting new patients
Endocrinology Institute of South FL LLC CurrentSince Jun 5, 2017 Accepting new patients
Renew Wound Care of Florida LLC CurrentSince Oct 20, 2025 Accepting new patients
Axel Health LLC CurrentSince Mar 26, 2024 Accepting new patients
Advanced Wound Care, LLC CurrentSince Aug 30, 2024 Accepting new patients

Locations

4061 Bonita Beach Rd
Ste 101
Bonita Springs, FL 34134
Phone (239) 301-0105

22904 Lyden Dr
Unit 56
Estero, FL 33928
Phone (239) 301-0105

3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1679331318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11313 POND CYPRESS ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138824",
            "telephone_number": "239-878-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11313 POND CYPRESS ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138824",
            "telephone_number": "239-878-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURIDOR",
        "first_name": "ISLANDE",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2023207790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.