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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
MARY C YANKASKAS MD (MANAGING PHYSICIAN)
(239) 275-5522
Entity
Organization
Contact information
Practice address
1261 VISCAYA PKWY STE 103, CAPE CORAL, FL 33990-3252
(239) 574-1988
(239) 574-1435
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
Enumeration date
10/14/2020
Last updated
10/14/2020
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