PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL (NPI# 1790767747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790767747 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL |
| Practice Address |
1501 Viscaya Pkwy Cape Coral FL 33990-6207 |
| Mailing Address |
13740 Cypress Terrace Cir Fort Myers FL 33907-8827 |
| Practice Telephone | 2395741988 |
| Practice Fax Number | 2395741435 |
| Mailing Telephone | 2392755522 |
| Mailing Fax Number | 2392754464 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-02-01 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 379245512 | 05 | |
| FL | HUMANA | 000013683G | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699757633 | Physicians Primary Care of Southwest Florida Pl | Nurse Practitioner | 1265 Viscaya Pkwy, Cape Coral, FL 33990-3237 | 2005-11-16 |
| 1356336705 | Physicians Primary Care of Southwest Florida Pl | Internal Medicine | 12730 New Brittany Blvd Ste 200, Fort Myers, FL 33907-3646 | 2005-09-13 |
| 1407161839 | Physicians Primary Care of Southwest Florida Pl | Obstetrics & Gynecology | 3046 Del Prado Blvd S, Suite 2c-d, Cape Coral, FL 33904-7221 | 2010-08-10 |
| 1902948607 | Physicians Primary Care of Southwest Florida Pl | Advanced Practice Midwife | 9021 Park Royal Dr, Fort Myers, FL 33908-9617 | 2007-02-12 |
| 1104968718 | Physicians Primary Care of Southwest Florida Pl | Advanced Practice Midwife | 3507 Lee Blvd, Suite 107, Lehigh Acres, FL 33971-1304 | 2007-02-12 |
| 1326021239 | Physicians Primary Care of Southwest Florida Pl | Nurse Practitioner | 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990-3252 | 2005-11-23 |
| 1205818879 | Physicians Primary Care of Southwest Florida Pl | Pediatrics | 5624 8th St W, Suite 108, Lehigh Acres, FL 33971-6304 | 2005-11-18 |
| 1740262799 | Physicians Primary Care of Southwest Florida Pl | Internal Medicine | 6160 Winkler Rd, Fort Myers, FL 33919-8179 | 2005-11-16 |
| Street Address |
1501 VISCAYA PKWY |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33990-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245302025 | Bilgin Inc | Durable Medical Equipment & Medical Supplies | 1501 Viscaya Pkwy, Suite 2, Cape Coral, FL 33990-3299 | 2006-11-15 |
| 1245794502 | Bilgin Inc | Pharmacy | 1501 Viscaya Pkwy, Cape Coral, FL 33990-6226 | 2019-01-30 |
| 1326389883 | Viscaya Dental, LLC | Dentist | 1501 Viscaya Pkwy, Cape Coral, FL 33990-6226 | 2013-03-08 |
| 1902920838 | Jon Robert Luedtke | Pharmacist | 1501 Viscaya Pkwy, Suite 2, Cape Coral, FL 33990-6207 | 2007-03-17 |
| 1316070956 | Ronald F Stotter | Pharmacist | 1501 Viscaya Pkwy, Cape Coral, FL 33990-6207 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1386259208 | Hope of Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 | 2020-09-09 |
| 1669001814 | Jamie Lindon Kohl | Specialist/Technologist | 605 Se 13th Ct, Cape Coral, FL 33990 | 2020-04-08 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1215429279 | Five Star Homecare LLC | Adult Companion | 629 Se 10th Pl, Cape Coral, FL 33990 | 2018-06-05 |
| 1730679192 | Amanda Tiana Bright | Developmental Therapist | 1507 Se 18th St, Cape Coral, FL 33990 | 2018-05-11 |
| 1487170908 | Natalie Diaz | Behavior Technician | 317 Se 16th Place, Cape Coral, FL 33990 | 2017-08-16 |
| 1679097273 | Centro Medico LLC | Clinic/Center | 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 | 2017-07-26 |
| 1629506308 | Besties LLC | Adult Companion | 518 Se 20th Ct, Cape Coral, FL 33990 | 2017-05-25 |
| Find all providers in zip 33990 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013535103 | Manuel Lorenzo Romero Garcia | Family Medicine | 1123 Se 19th Ln, Cape Coral, FL 33990-4532 | 2020-07-06 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1184126252 | Trc Medical Practices Inc. | Family Medicine | 3321 Del Prado Blvd S Ste 3, Cape Coral, FL 33904-7263 | 2018-03-05 |
| 1871015693 | Remberto Lopez Md Pa | Family Medicine | 814 Sw Pine Island Rd Ste 306, Cape Coral, FL 33991-1943 | 2017-07-13 |
| 1083153761 | Juan Antonio Carmona | Family Medicine | 2307 Bolado Pkwy, Cape Coral, FL 33990-2712 | 2017-02-15 |
| 1134589286 | Sunshine Family Doctor LLC | Family Medicine | 4831 Coronado Pkwy, Cape Coral, FL 33904-9516 | 2016-03-02 |
| 1861881997 | Romulo Bernal | Family Medicine | 3925 Del Prado Blvd S, Cape Coral, FL 33904-7130 | 2015-01-13 |
| 1790184356 | Rx Imaging of Swfl, LLC | Family Medicine | 506 Se 47th St Suite A, Cape Coral, FL 33904 | 2014-08-20 |
| 1265842231 | Trevor E. Cox | Family Medicine | 1708 Cape Coral Pkwy W Ste 6, Cape Coral, FL 33914-6985 | 2014-04-30 |
| 1508107244 | Family Care 1 LLC | Family Medicine | 1411 Se 16th Pl, Cape Coral, FL 33990 | 2013-03-05 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33990 |
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.