# GARY PYNCKEL D.O., P.A.

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

## Provider details

- **NPI number:** 1083800072
- **Authorized official:** GARY PYNCKEL DO (PHYSICIAN)
- **Authorized official phone:** (239) 278-3377

## Contact information

- **Practice address:** 3840 COLONIAL BLVD., SUITE 1, FORT MYERS, FL 33966
- **Practice address phone:** (239) 278-3377
- **Practice address fax:** (239) 278-5266
- **Mailing address:** 3840 COLONIAL BLVD. SUITE 1, FORT MYERS, FL 33966
- **Mailing address phone:** (239) 278-3377
- **Mailing address fax:** (239) 278-5266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS5445 | FL | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 05/16/2013