Active NPI
Physicians Primary Care of Southwest Florida, PL
- Family Medicine Physician
- Fort Myers, FL
National Provider Identifier
1356755151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL
- Practice address
- 7381 College Pkwy Ste 110
Fort Myers, FL 33907-5527 - Phone
- (239) 482-1010
- Fax
- (239) 481-1481
- NPI assigned
- Jun 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon Burdzy, DO
- Title
- Managing Physician
- Phone
- (239) 275-5522
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FL | Primary | |
| Internal Medicine Physician | 207R00000X | FL | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
7381 College Pkwy Ste 110
Fort Myers, FL 33907-5527
Mailing address
12730 New Brittany Blvd Ste 602
Fort Myers, FL 33907-4690
Phone (239) 275-5522
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0683949 | Physicians Primary Care of Southwest Florida PL | Provider-performed microscopy | Sep 24, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Physicians Primary Care of Southwest Florida PL
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1114847720
-
- Pediatrics Physician
- Cape Coral, FL
- NPI 1699757633
-
- Family Medicine Physician
- Cape Coral, FL
- NPI 1033191085
-
- Pediatrics Physician
- Fort Myers, FL
- NPI 1083696033
-
- Family Medicine Physician
- Cape Coral, FL
- NPI 1225636905
-
- Physical Therapist
- Cape Coral, FL
- NPI 1245646223
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1275112989
-
- Pediatrics Physician
- Lehigh Acres, FL
- NPI 1295134252
-
- Family Medicine Physician
- Cape Coral, FL
- NPI 1447434071
-
- Clinical Medical Laboratory
- Cape Coral, FL
- NPI 1750793808
-
- Internal Medicine Physician
- Cape Coral, FL
- NPI 1962825794
-
- Family Medicine Physician
- Estero, FL
- NPI 1568201234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1356755151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12730 NEW BRITTANY BLVD STE 602",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339074690",
"telephone_number": "239-275-5522",
"fax_number": "239-275-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7381 COLLEGE PKWY STE 110",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075527",
"telephone_number": "239-482-1010",
"fax_number": "239-481-1481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-19",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "BURDZY",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "MANAGING PHYSICIAN",
"authorized_official_telephone_number": "239-275-5522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Physicians Medical Group of Southwest Florida,LLC
- Physicians Primary Care of S.W. Fla
- Physicians Primary Care of Southwest Florida PL
- Physicians Primary Care of Southwest Florida, PL
- Physicians Primary Care of Southwest Florida, PL
- Physicians Regenerative, Inc.
- Physicians Surgery Center LLC
- Physicians Wellness Associates
- Physicians' Primary Care of Southwest Florida, P.L.
- Physiotherapy Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.