PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL (NPI# 1962825794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962825794 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL |
| Practice Address |
1708 Cape Coral Pkwy W Ste 4 Cape Coral FL 33914-6985 |
| Mailing Address |
12730 New Brittany Blvd Ste 602 Fort Myers FL 33907-4690 |
| Practice Telephone | 2399455940 |
| Practice Fax Number | 2399455941 |
| Mailing Telephone | 2392755522 |
| Mailing Fax Number | 2392754464 |
| Enumeration Date | 2014-01-30 |
| 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 | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | 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 |
| 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 |
| 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 |
1708 CAPE CORAL PKWY W STE 4 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33914-6985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083965354 | Jennifer Mcbreairty | Nurse Practitioner | 1708 Cape Coral Pkwy W Ste 4, Cape Coral, FL 33914-6985 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
| 1316310303 | Alejandra Romero | Dentist | 1715 Cape Coral Parkway West.suite #13, Cape Coral, FL 33914 | 2015-11-12 |
| 1366826141 | Hannah M Dowling | Nurse Practitioner | 2441 Surfside Blvd., Cape Coral, FL 33914 | 2015-07-12 |
| 1003181389 | Yosmel O Carrasco | Massage Therapist | 3910 Santa Barbara Blvd 103, Cape Coral, FL 33914 | 2012-03-20 |
| 1326330507 | Taylor's Exceptional Nurse Practitioner Service, LLC | Nurse Practitioner | 841 Sw 47th Ter #106, Cape Coral, FL 33914 | 2011-05-06 |
| 1407010226 | Carmelita Buenviaje Almazan | Case Manager/Care Coordinator | 4334 Sw 9th Avenue, Cape Coral, FL 33914 | 2008-07-10 |
| 1447471503 | Daysi Perez | Massage Therapist | 4624 Sw 14 Ave, Cape Coral, FL 33914 | 2007-05-02 |
| 1801973466 | Russell Meredith Fidler | Dentist | 1616 W Cape Coral Parkway Unit #115, Cape Coral, FL 33914 | 2006-11-01 |
| 1134226814 | Elizabeth Elia | Dentist | 415 Cape Coral Parkway #w1, Cape Coral, FL 33914 | 2006-09-17 |
| 1225140718 | Dental Associates of Cape Coral, Pa | Dentist | 1715 Cape Coral Parkway West, Suite 11, Cape Coral, FL 33914 | 2006-08-31 |
| Find all providers in zip 33914 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932703 | Cape Coral Integrated Medical | Internal Medicine | 643 Cape Coral Pkwy E Ste E, Cape Coral, FL 33904-8549 | 2020-11-02 |
| 1801495585 | United Teledoc Inc | Internal Medicine | 231 Del Prado Blvd S, Cape Coral, FL 33990-5707 | 2020-10-22 |
| 1972074706 | P & C Medical Care,inc | Internal Medicine | 1305 Se 47th Ter, Cape Coral, FL 33904-9674 | 2018-12-05 |
| 1801281928 | Sarada Penukonda Md | Internal Medicine | 323 Del Prado Blvd S Ste 100, Cape Coral, FL 33990-1747 | 2015-04-06 |
| 1669613998 | Juan C. Domingo, M.d.,p.a. | Internal Medicine | 900 Sw Pine Island Road, Unit 208, Cape Coral, FL 33991-0000 | 2009-03-17 |
| 1720146566 | Michele A Candelore | Internal Medicine | 3326 Del Prado Blvd S, Suite #8, Cape Coral, FL 33904-7299 | 2006-12-05 |
| 1992887061 | Sarada Penukonda | Internal Medicine | 323 Del Prado Blvd., S, Suite 100, Cape Coral, FL 33990 | 2006-10-19 |
| 1437245834 | Luis Antonio Espina | Internal Medicine | 1511 Se 29th Ter, Cape Coral, FL 33904-3953 | 2006-10-04 |
| 1356365043 | Ajay K Dhawan | Internal Medicine | 1108 Amber Lake Ct, Cape Coral, FL 33909-2946 | 2006-07-26 |
| 1104841360 | Edwin Kyung Chung | Internal Medicine | 290 Nicholas Pkwy Nw Ste 1, Cape Coral, FL 33991-3804 | 2006-07-12 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33914 |
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.