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
5700 LEE BLVD, LEHIGH ACRES, FL 33971-6355
(239) 481-5437
(239) 481-0570
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
—
—
208000000X
Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/15/2014
Last updated
08/13/2024
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