Island Womens Wellness Inc
Organization Active NPI Obstetrics & Gynecology Physician · Tavernier, FL
NPI 1861375263 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1861375263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ISLAND WOMENS WELLNESS INC
- Practice address
- 91555 Overseas Hwy Ste 3
Tavernier, FL 33070-2505 - Phone
- (305) 304-8090
- Fax
- (855) 538-1002
- NPI assigned
- Jul 31, 2025
- Organization subpart
- No
Authorized official
- Name
- Marilyn Penuela-Ladaga, NP
- Title
- Owner
- Phone
- (305) 298-5707
Practitioners 1
-
Marilyn Penuela-Ladaga, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250815001059 | FL | Part B Supplier - Clinic/Group Practice | 9931608148 |
Receives reassigned benefits from 1 practitioner Practice locations: Tavernier, FL |
National Provider Directory
Locations
91555 Overseas Hwy
Ste 3
Tavernier, FL 33070
Phone (305) 304-8090
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CGAJDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
91555 Overseas Hwy Ste 3
Tavernier, FL 33070-2505
Mailing address
91555 Overseas Hwy Ste 3
Tavernier, FL 33070-2505
Phone (305) 304-8090
Other providers in Tavernier, FL
- Tricia Hynes
- Internal Medicine of the Keys, Inc
- Emasenyie Isikwei
- Island MD, LLC
- Island Smiles,PA
- Jackson Memorial Hospital
- John Deagle Family Practice
- John F Torregrosa DPM PA Inc
- John L Izanec DDS PA
- Jaquita Beth Jones
All providers in Tavernier, FL · Obstetrics & Gynecology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.