| Physicians Primary Care Of Southwest Florida Pl | |
|
12730 New Brittany Blvd Ste 200 Fort Myers FL 33907-3646 | |
| (239) 275-5857 | |
| (239) 275-1187 |
| Full Name | Physicians Primary Care Of Southwest Florida Pl |
|---|---|
| Speciality | Family Medicine |
| Location | 12730 New Brittany Blvd Ste 200, Fort Myers, Florida |
| Authorized Official Name and Position | Mary C. Yankaskas (PRESIDENT/MANAGING PHYSICIAN) |
| Authorized Official Contact | 2392755522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Primary Care Of Southwest Florida Pl 12730 New Brittany Blvd Ste 602 Fort Myers FL 33907-4690 Ph: (239) 275-5522 | Physicians Primary Care Of Southwest Florida Pl 12730 New Brittany Blvd Ste 200 Fort Myers FL 33907-3646 Ph: (239) 275-5857 |
| NPI Number | 1356336705 |
|---|---|
| Provider Enumeration Date | 09/13/2005 |
| Last Update Date | 08/25/2020 |
| Medicare PECOS PAC ID | 2769389675 |
|---|---|
| Medicare Enrollment ID | O20031218000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356336705 | NPI | - | NPPES |
| 379245500 | Medicaid | FL | |
| 40398 | Other | FL | BC/BS |
| Provider Name | John Ritrosky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306828124 PECOS PAC ID: 0042112393 Enrollment ID: I20040126000722 |
| Provider Name | Ralph Nathan Landefeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912989161 PECOS PAC ID: 2062405764 Enrollment ID: I20040407001025 |
| Provider Name | Jeanne Anne Abdou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982686689 PECOS PAC ID: 0749274322 Enrollment ID: I20040414001502 |
| Provider Name | Tracy Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598708430 PECOS PAC ID: 2961492897 Enrollment ID: I20040513001007 |
| Provider Name | Jerry V Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891777090 PECOS PAC ID: 0042298432 Enrollment ID: I20040712001010 |
| Provider Name | Jon P Burdzy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205854510 PECOS PAC ID: 8224008719 Enrollment ID: I20040730000749 |
| Provider Name | Alejandro N Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659352953 PECOS PAC ID: 1052384799 Enrollment ID: I20040819000552 |
| Provider Name | Stanley Wiggins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437131604 PECOS PAC ID: 6507835378 Enrollment ID: I20040928001187 |
| Provider Name | Maria Annabelle Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093798472 PECOS PAC ID: 1658476882 Enrollment ID: I20070417000681 |
| Provider Name | Georgia Rocha-rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992787154 PECOS PAC ID: 3779672555 Enrollment ID: I20071130000590 |
| Provider Name | Kimberly A Nicholson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629127188 PECOS PAC ID: 4880665108 Enrollment ID: I20090116000518 |
| Provider Name | Anna Dubrovich Shuster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982829628 PECOS PAC ID: 4880784552 Enrollment ID: I20100208000729 |
| Provider Name | Angela F D'alessandro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235161472 PECOS PAC ID: 1052455425 Enrollment ID: I20100223000634 |
| Provider Name | Paul B Engel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982685277 PECOS PAC ID: 8820171812 Enrollment ID: I20100316000419 |
| Provider Name | Joanna C Muller Carioba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942281233 PECOS PAC ID: 7113000100 Enrollment ID: I20100316000534 |
| Provider Name | Nuel C Celebrado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962484105 PECOS PAC ID: 8022191014 Enrollment ID: I20100316000555 |
| Provider Name | Scott E Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386625614 PECOS PAC ID: 0446333439 Enrollment ID: I20100415000225 |
| Provider Name | Dean S Traiger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679554992 PECOS PAC ID: 6800979899 Enrollment ID: I20100511000744 |
| Provider Name | Ann B Biddison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700837713 PECOS PAC ID: 2062540073 Enrollment ID: I20100512000932 |
| Provider Name | Staci A Van Winkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700804135 PECOS PAC ID: 8426087172 Enrollment ID: I20101122001095 |
| Provider Name | Mardelle Delight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255422598 PECOS PAC ID: 0143417840 Enrollment ID: I20110125000189 |
| Provider Name | Matthew Toomey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922394709 PECOS PAC ID: 9931370343 Enrollment ID: I20110915000193 |
| Provider Name | Jennifer L Mcbreairty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083965354 PECOS PAC ID: 1557510757 Enrollment ID: I20121003000605 |
| Provider Name | Jorge Valenzuela Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740528199 PECOS PAC ID: 0446491864 Enrollment ID: I20130729000275 |
| Provider Name | Michael S. Verwest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336121532 PECOS PAC ID: 9537242524 Enrollment ID: I20130821000139 |
| Provider Name | Yesenia Martinez Regalado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962848333 PECOS PAC ID: 2264666098 Enrollment ID: I20131010001712 |
| Provider Name | Shannon M York Conrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649294380 PECOS PAC ID: 9739405325 Enrollment ID: I20150225001400 |
| Provider Name | Shikha Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205165610 PECOS PAC ID: 4082840590 Enrollment ID: I20150309000686 |
| Provider Name | Kimberly Lynn May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689037657 PECOS PAC ID: 3173813482 Enrollment ID: I20160527000589 |
| Provider Name | Lucia K Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225475999 PECOS PAC ID: 5496046534 Enrollment ID: I20160621002539 |
| Provider Name | David Ryan Butler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477676575 PECOS PAC ID: 9537224290 Enrollment ID: I20160825001090 |
| Provider Name | Patricia Jennelle Briones Villaflor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649603564 PECOS PAC ID: 2062793490 Enrollment ID: I20161227000594 |
| Provider Name | John D Vande Velde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922089804 PECOS PAC ID: 7517236045 Enrollment ID: I20170627000932 |
| Provider Name | Warlyn Sosa Popoteur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043628050 PECOS PAC ID: 7012287303 Enrollment ID: I20170719001756 |
| Provider Name | Brian P Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659893899 PECOS PAC ID: 9032481205 Enrollment ID: I20170823001085 |
| Provider Name | Deborah Craig Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568995041 PECOS PAC ID: 4486636735 Enrollment ID: I20180117002574 |
| Provider Name | Ashley Marie Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578943031 PECOS PAC ID: 7911254966 Enrollment ID: I20180720002822 |
| Provider Name | Heather Nichols Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445998 PECOS PAC ID: 2062765191 Enrollment ID: I20181019000203 |
| Provider Name | Angela Lynn Frink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366997389 PECOS PAC ID: 6002160553 Enrollment ID: I20181119003050 |
| Provider Name | Melanie Aliza Coombs-bynum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013906577 PECOS PAC ID: 9234477597 Enrollment ID: I20190212000342 |
| Provider Name | Courtney Michelle Tobol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871058438 PECOS PAC ID: 5395083240 Enrollment ID: I20190219001097 |
| Provider Name | Dana Debord Crater |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043285547 PECOS PAC ID: 8224060918 Enrollment ID: I20190226002588 |
| Provider Name | Amanda Lillian Danley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336595404 PECOS PAC ID: 1254670458 Enrollment ID: I20190306001441 |
| Provider Name | Syed Osama Sher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306207030 PECOS PAC ID: 3476886193 Enrollment ID: I20190612002696 |
| Provider Name | Liliya Gerasymchuk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205368875 PECOS PAC ID: 5294003463 Enrollment ID: I20200630001291 |
| Provider Name | Lincoln De La Parte Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770022394 PECOS PAC ID: 9638418239 Enrollment ID: I20200915000103 |
| Provider Name | Daynet Vera Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891395752 PECOS PAC ID: 9537574728 Enrollment ID: I20210222001109 |
| Provider Name | Jian Zhao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265660179 PECOS PAC ID: 8527210806 Enrollment ID: I20210720001301 |
| Provider Name | Stacy Ann Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568098333 PECOS PAC ID: 8426455866 Enrollment ID: I20210927003480 |
| Provider Name | Priya Parekh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923300 PECOS PAC ID: 8527457035 Enrollment ID: I20211122001507 |
| Provider Name | Morgan Emily Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184367468 PECOS PAC ID: 8527445675 Enrollment ID: I20220511002584 |
| Provider Name | Roslyn E Oakley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275996621 PECOS PAC ID: 5991035024 Enrollment ID: I20220517000212 |
| Provider Name | Ashley M Yazdani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720498306 PECOS PAC ID: 7618338146 Enrollment ID: I20230801001643 |
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 |