Physicians Primary Care Of Southwest Florida Pl
LBN: Physicians Primary Care Of Southwest Florida Pl
Physicians Primary Care Of Southwest Florida Pl is an health care organization with primary practice located at 12730 New Brittany Blvd Ste 200 , Fort Myers FL 33907-3646. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Physicians Primary Care Of Southwest Florida Pl can be contacted via phone (239) 275-5857, or through Yankaskas, Mary C. via phone (239) 275-5522.
Contact Information
Primary practice address
12730 New Brittany Blvd Ste 200
Fort Myers FL 33907-3646
Phone: (239) 275-5857
Fax: (239) 275-1187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1356336705 |
|---|---|
| LBN Legal business name | Physicians Primary Care Of Southwest Florida Pl |
| DBA Doing business as | |
| Authorized official | Yankaskas, Mary C. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Aug 25th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356336705 | NPPES |
| Florida | MEDICAID | 379245500 | |
| Florida | Other | 40398 |
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