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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
13195 METRO PKWY STE 8, FORT MYERS, FL 33966-4810
(239) 482-1010
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
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/08/2021
Last updated
08/13/2024
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