PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL – Pediatrics Physician, NPI 1699757633

PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL is a healthcare provider. based in Cape coral, Florida. specializing in Pediatrics Physician. The NPI Number for PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL is 1699757633

Main info

Organization
Name
PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL
NPI
1699757633
Phone
(239) 573-7337
Address
1265 VISCAYA PKWY
Authorized Official
DR. JON BURDZY MANAGING PHYSICIAN DO
Enumeration Date
16 November 2005
Last Update Date
13 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL

  • 1265, Viscaya Parkway, Cape Coral, Lee County, Florida, 33990, United States

    CAPE CORAL, FL 339903237

    Phone: (239) 573-7337

    Fax: (239) 574-5883

    Type: Location

  • 12730 NEW BRITTANY BLVD STE 602

    FORT MYERS, FL 339074690

    Phone: (239) 275-5522

    Fax: (239) 275-4464

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031218000177OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33990)

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Reviews

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Frequently asked questions

Where can patients find PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL's NPI?
You can confirm PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL with NPI 1699757633; it appears in the national provider directory.
Is PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL list a primary specialty?
If you are matching referrals, note Pediatrics Physician for PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL. Clinical services aligned with this taxonomy classification.
What location shows for PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL?
We surface Cape Coral, Florida for PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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