Family Health Centers Of Southwest Florida, Inc.
LBN: Family Health Centers Of Southwest Florida, Inc.
Family Health Centers Of Southwest Florida, Inc. is an health care organization with primary practice located at 4300 Kings Hwy Ste 210 , Port Charlotte FL 33980-2922. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Family Health Centers Of Southwest Florida, Inc. can be contacted via phone (239) 344-2306, or through Mazzeo, Frank via phone (239) 278-3600.
Contact Information
Primary practice address
4300 Kings Hwy Ste 210
Port Charlotte FL 33980-2922
Phone: (239) 344-2306
Fax: (941) 629-2365
Website:
Authorized official contact:
Name: Mazzeo, Frank Doctor of Dental Surgery (DDS)
Phone: (239) 278-3600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1114698701 |
|---|---|
| LBN Legal business name | Family Health Centers Of Southwest Florida, Inc. |
| DBA Doing business as | |
| Authorized official | Mazzeo, Frank Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2021 |
| Last updated | May 18th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114698701 | NPPES |
| Florida | MEDICAID | 029570128 | |
| Florida | Other | 101180 |
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