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
1261 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990-3252
(239) 573-7337
(239) 574-5883
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
208000000X
Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379245514
—
FL
Enumeration date
11/23/2005
Last updated
08/13/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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