PHYSICIANS MEDICAL GROUP OF SOUTHWEST FLORIDA,LLC
NPI 1104259035
Family Medicine in Fort Myers, FL

NPI Status: Active since August 14, 2013

Contact Information

3800 COLONIAL BLVD STE 200
FORT MYERS, FL
ZIP 33966
Phone: (239) 936-1233
Fax: (239) 936-8576

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  • Organization
  • Family Medicine
  • CLIA Number: 10D2228706
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-29-2027

About PHYSICIANS MEDICAL GROUP OF SOUTHWEST FLORIDA,LLC

This page provides the complete NPI Profile along with additional information for Physicians Medical Group Of Southwest Florida,llc, a primary care provider established in Fort Myers, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1104259035 assigned on August 2013. The practitioner's primary taxonomy code is 207Q00000X with license number OS002373 (FL). The provider is registered as an organization and their NPI record was last updated 3 years ago. Physicians Medical Group Of Southwest Florida,llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Barry K Butler Md (Medical Director)

NPI
1104259035
Provider Name
PHYSICIANS MEDICAL GROUP OF SOUTHWEST FLORIDA,LLC
Entity Type
Organization
Location Address
3800 COLONIAL BLVD STE 200 FORT MYERS, FL 33966
Location Phone
(239) 936-1233
Location Fax
(239) 936-8576
Mailing Address
3800 COLONIAL BLVD STE 200 FORT MYERS, FL 33966
Mailing Phone
(239) 936-1233
Mailing Fax
(239) 936-8576
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2013
Last Update Date
06-19-2023
Code Navigator

A primary care provider (PCP) like Physicians Medical Group Of Southwest Florida,llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS002373
License State
FL
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BARRY K BUTLER MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(239) 936-1233

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2228706
Facility Type
Physician Office
Certificate Effective Date
June 30, 2025
Certificate Expiration Date
June 29, 2027
Laboratory Director
JORGE VALENZUELA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Physicians Medical Group Of Southwest Florida,llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104259035, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 4 + 5 + 1 + 8 + 0 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104259035.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104259035, enumerated as an "organization" on August 14, 2013.

The provider is located at 3800 COLONIAL BLVD STE 200 FORT MYERS, FL 33966 and the phone number is (239) 936-1233.

Family Medicine with taxonomy code 207Q00000X.