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Organization
PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL
Active
Organization
PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON BURDZY DO (MANAGING PHYSICIAN)
(239) 275-5522
Entity
Organization
Contact information
Practice address
1304 SE 8TH TER, CAPE CORAL, FL 33990-3212
(239) 574-1988
(239) 574-7765
Mailing address
12730 NEW BRITTANY BLVD STE 602, FORT MYERS, FL 33907-4690
(239) 275-5522
(239) 275-4464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379245513
—
FL
Enumeration date
11/16/2005
Last updated
08/13/2024
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