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PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL NPI 1356336705


NPI Information

NPI: 1356336705
Provider Name: PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
12730 NEW BRITTANY BLVD STE 200
FORT MYERS, FL
ZIP 33907
Phone: (239) 275-5857
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PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL is a family medicine in Fort Myers, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL NPI is 1356336705. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12730 NEW BRITTANY BLVD STE 200
FORT MYERS, FL
ZIP 33907-646
Phone: (239) 275-5857
Fax: (239) 275-1187

The provider's authorized official is Mary C. Yankaskas .
The authorized official title is President/managing Physician and has the following contact phone number (239) 275-5522.

The enumeration date for this NPI number is 9/13/2005 and was last updated on 8/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
140398OTHERFLORIDABC/BS
2379245500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.