# PHYSICIANS' PRIMARY CARE OF SOUTHWEST FLORIDA, P.L.

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

## Provider details

- **NPI number:** 1568201234
- **Authorized official:** JON P BURDZY DO (MANAGING PHYSICIAN)
- **Authorized official phone:** (239) 275-5522

## Contact information

- **Practice address:** 10200 ARCOS AVE, ESTERO, FL 33928-3528
- **Practice address phone:** (239) 482-1010
- **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 | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/22/2024
- **Last updated:** 05/22/2024