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GARY PYNCKEL D.O. P.A. NPI 1083800072


NPI Information

NPI: 1083800072
Provider Name: GARY PYNCKEL D.O., P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3840 COLONIAL BLVD.
SUITE 1
FORT MYERS, FL
ZIP 33966
Phone: (239) 278-3377
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GARY PYNCKEL D.O., P.A. 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. GARY PYNCKEL D.O., P.A. NPI is 1083800072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3840 COLONIAL BLVD.
SUITE 1
FORT MYERS, FL
ZIP 33966
Phone: (239) 278-3377
Fax: (239) 278-5266

The provider's authorized official is Gary Pynckel .
The authorized official title is Physician and has the following contact phone number (239) 278-3377.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 5/16/2013.


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
1207Q00000XFamily MedicineOS5445FLORIDAYes

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
1K5324MEDICARE PINFLORIDA
2C45637MEDICARE UPIN

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

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