PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL (NPI# 1295134252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295134252 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL |
| Practice Address |
5700 Lee Blvd Lehigh Acres FL 33971-6355 |
| 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 | 2014-08-15 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | DR. MARY C YANKASKAS (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 2392755522 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1083696033 | Physicians Primary Care of Southwest Florida, Pl | Nurse Practitioner | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2005-11-16 |
| Street Address |
5700 LEE BLVD |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33971-6355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962484105 | Nuel C Celebrado | Pediatrics | 5700 Lee Blvd, Lehigh Acres, FL 33971-6355 | 2005-11-15 |
| 1962848333 | Yesenia Altagracia Martinez Regalado | Family Medicine | 5700 Lee Blvd, Lehigh Acres, FL 33971 | 2013-05-13 |
| 1205165610 | Shikha Shrestha | Internal Medicine | 5700 Lee Blvd, Lehigh Acres, FL 33971-6355 | 2009-12-14 |
| 1336121532 | Michael S Verwest | Family Medicine | 5700 Lee Blvd, Lehigh Acres, FL 33971-6355 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248096 | Katie L Kozlowski | Behavior Technician | 5220 Lee Boulevard, Bldg 6, Lehigh Acres, FL 33971 | 2020-08-31 |
| 1548821481 | Rosario Assisted Living Facility, Inc | Assisted Living Facility | 2616 22nd St W, Lehigh Acres, FL 33971 | 2019-06-21 |
| 1790340362 | Delia Hernandez | Behavior Technician | 2519 39th Street West, Lehigh Acres, FL 33971 | 2019-05-08 |
| 1669981122 | Ana Claudia Dormann | Specialist/Technologist | 5598 8th St West, Unit 3, Lehigh Acres, FL 33971 | 2017-09-27 |
| 1871803551 | The Joan of Arc Corporation | Day Training, Developmentally Disabled Services | 2618 44th Street West, Lehigh Acres, FL 33971 | 2010-10-15 |
| 1396970737 | Total Renal Care Inc | Clinic/Center | 5705 Lee Blvd Ste 16, Lehigh Acres, FL 33971 | 2009-05-28 |
| 1700039658 | Friendly Group Home Inc. | Day Training, Developmentally Disabled Services | 2602 50th Street West, Lehigh Acres, FL 33971 | 2008-10-23 |
| 1336266485 | Marjorie St.germain | Social Worker | 3709 9th Street Sw, Lehigh Acres, FL 33971 | 2007-03-23 |
| 1194841767 | Stanley Paul Blair | Dentist | 3003 Lee Blvd, Lehigh Acres, FL 33971 | 2007-03-22 |
| 1770652711 | Alan E Spinner | Chiropractor | 2718 Lee Boulevard, Suite C, Lehigh Acres, FL 33971 | 2006-11-06 |
| Find all providers in zip 33971 | ||||
| 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 |
|---|---|---|---|---|
| 1487618153 | Stephen R. Liftig | Pediatrics | 2516 7th St W, Lehigh Acres, FL 33971-1452 | 2006-04-12 |
| 1346219706 | Enrique Luks | Pediatrics | 222 Plaza Dr, Lehigh Acres, Lehigh Acres, FL 33936-6018 | 2006-03-16 |
| 1962484105 | Nuel C Celebrado | Pediatrics | 5700 Lee Blvd, Lehigh Acres, FL 33971-6355 | 2005-11-15 |
| 1275524670 | Kyle A Smith | Pediatrics | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2005-11-03 |
| 1770585796 | Nancy Witham | Pediatrics | 260 Beth Stacey Blvd Ste C, Lehigh Acres, FL 33936-6074 | 2005-08-10 |
| 1134578859 | Sandra Nairuby De Jesus Medina | Pediatrics | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2016-06-03 |
| 1235271669 | Pediatric Centers of Lee County | Pediatrics | 222 Plaza Dr, Lehigh Acres, FL 33936-6018 | 2007-02-13 |
| 1144325622 | Nicole Autumn Mirjafari | Pediatrics | 260 Beth Stacey Blvd Ste C, Lehigh Acres, FL 33936-6074 | 2006-09-13 |
| 1205818879 | Physicians Primary Care of Southwest Florida Pl | Pediatrics | 5624 8th St W, Suite 108, Lehigh Acres, FL 33971-6304 | 2005-11-18 |
| 1821089715 | Reena S Kaul | Pediatrics | 391 Lee Blvd, Unit 200, Lehigh Acres, FL 33936-4973 | 2005-10-31 |
| Find all providers in LEHIGH ACRES | ||||
| City | LEHIGH ACRES |
| Zip Code | 33971 |
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.