PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL
NPI 1326021239
Pediatrics in Cape Coral, FL

Active since November 23, 2005CLIA 10D0294849 · Waiver
1261 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990(239) 573-7337(239) 574-5883 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2024, Aug 25, 2020 (2 updates tracked since 2020).

About Physicians Primary Care Of Southwest Florida Pl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL (NPI 1326021239) is a healthcare organization registered as a pediatrics in Cape Coral, Florida and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Jon Burdzy, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1326021239
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL
Location Address1261 VISCAYA PKWY STE 101Cape Coral, FL 33990-3252
Mailing Address12730 New Brittany Blvd Ste 602Fort Myers, FL 33907-4690 · (239) 275-5522 · Fax (239) 275-4464
Fax(239) 574-5883
Organization SubpartNo
Authorized OfficialJon BurdzyManaging Physician · (239) 275-5522
Enumeration DateNovember 23, 2005
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
NPI 1326021239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedNurse PractitionerTaxonomy 363L00000X
1261 VISCAYA PKWY STE 101, Cape Coral, FL 33990

Other Identifiers 1

Medicaid379245514FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0294849

Physicians Primary Care Of Southwest Florida · Cape Coral, FL
Active · expires Nov 24, 2027
CLIA Number10D0294849
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorRalph N. Landefeld
Laboratory Phone(239) 573-7337
Laboratory LocationPhysicians Primary Care Of Southwest Florida1261 Viscaya Pkwy, Cape Coral, FL 33990
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1261 VISCAYA PKWY STE 101
CAPE CORAL, FL 33990
Pediatrics
1261 VISCAYA PKWY STE 101
CAPE CORAL, FL 33990
Pediatrics
1261 VISCAYA PKWY STE 101
CAPE CORAL, FL 33990
Nurse Practitioner (Family)
1261 VISCAYA PKWY STE 101
CAPE CORAL, FL 33990
Pediatrics
1261 VISCAYA PKWY STE 101
CAPE CORAL, FL 33990
Pediatrics
1261 VISCAYA PKWY STE 101
CAPE CORAL, FL 33990
Nurse Practitioner (Pediatrics)
1261 VISCAYA PKWY STE 101
CAPE CORAL, FL 33990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physicians Primary Care Of Southwest Florida Pl's NPI number?

The NPI number for Physicians Primary Care Of Southwest Florida Pl is 1326021239. It was assigned to this organization in the NPPES registry on November 23, 2005.

Where is Physicians Primary Care Of Southwest Florida Pl located?

Physicians Primary Care Of Southwest Florida Pl is located at 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990. The listed phone number is (239) 573-7337.

What is Physicians Primary Care Of Southwest Florida Pl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Physicians Primary Care Of Southwest Florida Pl hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0294849) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Physicians Primary Care Of Southwest Florida Pl accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Physicians Primary Care Of Southwest Florida Pl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Physicians Primary Care Of Southwest Florida Pl was last updated on August 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.