Gary Pynckel D.O., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5445 Issued in FL

Legal business name

GARY PYNCKEL D.O., P.A.

Practice address

3840 Colonial Blvd.
Suite 1
Fort Myers, FL 33966

Phone

(239) 278-3377

Fax

(239) 278-5266

NPI assigned

Sep 24, 2007

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Pynckel, DO

Title

Physician

Phone

(239) 278-3377

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1083800072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 COLONIAL BLVD. SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33966",
            "telephone_number": "239-278-3377",
            "fax_number": "239-278-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 COLONIAL BLVD.",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33966",
            "telephone_number": "239-278-3377",
            "fax_number": "239-278-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY PYNCKEL D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "PYNCKEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-278-3377",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.