# PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL

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

## Provider details

- **NPI number:** 1356336705
- **Authorized official:** DR. JON BURDZY DO (PRESIDENT/MANAGING PHYSICIAN)
- **Authorized official phone:** (239) 275-5522

## Contact information

- **Practice address:** 12730 NEW BRITTANY BLVD STE 200, FORT MYERS, FL 33907-3646
- **Practice address phone:** (239) 275-5857
- **Practice address fax:** (239) 275-1187
- **Mailing address:** 12730 NEW BRITTANY BLVD STE 602, FORT MYERS, FL 33907-4690
- **Mailing address phone:** (239) 275-5522
- **Mailing address fax:** (239) 275-4464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 06/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 379245500 | — | FL |
| 01 | — | 40398 | BC/BS | FL |