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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