# PTG MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043931439
- **Authorized official:** PATRICK KING DC (OWNER)
- **Authorized official phone:** (239) 573-7988

## Contact information

- **Practice address:** 1260 NE 8TH STREET, UNIT 109, CAPE CORAL, FL 33909
- **Practice address phone:** (239) 579-7988
- **Practice address fax:** (239) 579-7898
- **Mailing address:** 1260 NE 8TH ST STE 109, CAPE CORAL, FL 33909-3169
- **Mailing address phone:** (239) 573-7988
- **Mailing address fax:** (239) 573-7898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2022
- **Last updated:** 10/02/2023