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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 (PRESIDENT/MANAGING PHYSICIAN)
(239) 275-5522
Entity
Organization
Contact information
Practice address
12730 NEW BRITTANY BLVD STE 200, FORT MYERS, FL 33907-3646
(239) 275-5857
(239) 275-1187
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
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379245500
—
FL
01
—
40398
BC/BS
FL
Enumeration date
09/13/2005
Last updated
06/08/2026
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