| Physicians Medical Group Of Southwest Florida,llc | |
|
3800 Colonial Blvd Ste 200 Fort Myers FL 33966-1075 | |
| (239) 936-1233 | |
| (239) 936-8576 |
| Full Name | Physicians Medical Group Of Southwest Florida,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 Colonial Blvd Ste 200, Fort Myers, Florida |
| Authorized Official Name and Position | Barry K Butler (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2399361233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Medical Group Of Southwest Florida,llc 3800 Colonial Blvd Ste 200 Fort Myers FL 33966-1075 Ph: (239) 936-1233 | Physicians Medical Group Of Southwest Florida,llc 3800 Colonial Blvd Ste 200 Fort Myers FL 33966-1075 Ph: (239) 936-1233 |
| NPI Number | 1104259035 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 06/19/2023 |
| Medicare PECOS PAC ID | 2264669738 |
|---|---|
| Medicare Enrollment ID | O20131210000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104259035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS002373 (Florida) | Primary |
| Provider Name | Barry K Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770581449 PECOS PAC ID: 9830134402 Enrollment ID: I20080913000085 |
| Provider Name | Steven Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134310444 PECOS PAC ID: 2961485834 Enrollment ID: I20180222002524 |
| Provider Name | Aaron J Fralicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427597244 PECOS PAC ID: 1355776253 Enrollment ID: I20200123001500 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |