PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL (NPI# 1083696033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083696033 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL |
| Practice Address |
9350 Camelot Dr Fort Myers FL 33919-7980 |
| Mailing Address |
12730 New Brittany Blvd Ste 602 Fort Myers FL 33907-4690 |
| Practice Telephone | 2394815437 |
| Practice Fax Number | 2394810570 |
| Mailing Telephone | 2392755522 |
| Mailing Fax Number | 2392754464 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | DR. MARY C. YANKASKAS (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 2392755522 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 379245506 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636905 | Physicians Primary Care of Southwest Florida, Pl | Physician Assistant | 1261 Viscaya Pkwy Ste 103, Cape Coral, FL 33990-3252 | 2020-10-14 |
| 1750793808 | Physicians Primary Care of Southwest Florida, Pl | Clinical Medical Laboratory | 1265 Viscaya Pkwy # Lab, Cape Coral, FL 33990-3237 | 2014-05-23 |
| 1295134252 | Physicians Primary Care of Southwest Florida, Pl | Family Medicine | 5700 Lee Blvd, Lehigh Acres, FL 33971-6355 | 2014-08-15 |
| 1245646223 | Physicians Primary Care of Southwest Florida, Pl | Physical Therapist | 1261 Viscaya Pkwy Ste 102, Cape Coral, FL 33990-3252 | 2014-07-10 |
| 1356755151 | Physicians Primary Care of Southwest Florida, Pl | Internal Medicine | 7381 College Pkwy Ste 110, Fort Myers, FL 33907-5527 | 2014-06-19 |
| 1962825794 | Physicians Primary Care of Southwest Florida, Pl | Nurse Practitioner | 1708 Cape Coral Pkwy W Ste 4, Cape Coral, FL 33914-6985 | 2014-01-30 |
| 1881026219 | Physicians Primary Care of Southwest Florida, Pl | Internal Medicine | 5172 Mason Corbin Ct, Suite 3, Fort Myers, FL 33907-4540 | 2013-08-08 |
| 1861791881 | Physicians Primary Care of Southwest Florida, Pl | Family Medicine | 7780 Cambridge Manor Pl, Suite C, Fort Myers, FL 33907-3656 | 2011-03-16 |
| 1447434071 | Physicians Primary Care of Southwest Florida, Pl | Physician Assistant | 1255 Viscaya Pkwy Ste 200, Cape Coral, FL 33990-3290 | 2007-12-18 |
| 1033191085 | Physicians Primary Care of Southwest Florida, Pl | Physician Assistant | 1304 Se 8th Ter, Cape Coral, FL 33990-3212 | 2005-11-16 |
| Street Address |
9350 CAMELOT DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-7980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013906577 | Melanie Aliza Coombs-bynum | Pediatrics | 9350 Camelot Dr, Fort Myers, FL 33919 | 2005-10-18 |
| 1568995041 | Deborah Craig Miller | Pediatrics | 9350 Camelot Dr, Fort Myers, FL 33919 | 2017-04-11 |
| 1225435142 | Sara Joanne Foley | Nurse Practitioner | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2014-11-20 |
| 1942556667 | Heather Tudor | Occupational Therapist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2012-07-31 |
| 1801189659 | Jessica Lynn Schumaker | Nurse Practitioner | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2011-05-25 |
| 1063704971 | Jessica Ferraro | Speech-Language Pathologist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2011-05-10 |
| 1225332323 | Gillian Lukoic | Occupational Therapist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2011-01-04 |
| 1295065902 | Jasmine Marie Reese | Pediatrics | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2009-12-30 |
| 1477724375 | Jennifer Newton | Physical Therapist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2008-03-18 |
| 1407026958 | Dawn A Cox | Speech-Language Pathologist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174980031 | Christina Helen Hodges | Pediatrics | 1676 Morning Glory Ct, Fort Myers, FL 33901-9664 | 2016-01-24 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| 1790066983 | De La Vega Pediatrics, Corp. | Pediatrics | 31 Barkley Cir, Suite 1, Fort Myers, FL 33907-7628 | 2011-09-01 |
| 1972823409 | Fort Myers Pediatrics LLC | Pediatrics | 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919-7601 | 2010-06-07 |
| 1689804148 | Daniel Eric Eason | Pediatrics | 16281 Bass Rd, Suite 301, Fort Myers, FL 33908 | 2009-07-19 |
| 1609026590 | Paul P Lorenz | Pediatrics | 12010 Rosemount Dr, Fort Myers, FL 33913-8378 | 2008-09-26 |
| 1669634036 | Leigh Ruth Sweet | Pediatrics | 9981 S Healthpark Dr Ste 454, Fort Myers, FL 33908-3618 | 2008-06-27 |
| 1043488539 | Hetty Zoe Snyderman | Pediatrics | 21 Carrotwood Ct, Fort Myers, FL 33919-7531 | 2008-02-18 |
| 1538354089 | Judith Toffel-liccini | Pediatrics | 20 Carrotwood Ct, Fort Myers, FL 33919-7531 | 2007-09-07 |
| 1396951497 | George Joseph Arthur Magnant | Pediatrics | Fgcu Student Health Services Ctr, 10501 Fgcu Blvd .s., Fort Myers, FL 33965-6565 | 2007-05-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.