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 19701 S Tamiami Trl , Fort Myers FL 33908-4818. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Family Health Centers Of Southwest Florida, Inc. can be contacted via phone (239) 314-1600, or through Mazzeo, Frank via phone (239) 278-3600.

Contact Information

Primary practice address
19701 S Tamiami Trl Fort Myers FL 33908-4818
Fax: (239) 425-6402
Website:
Authorized official contact:
Name: Mazzeo, Frank Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Clinic Pharmacy 3336C0002X PH28479 Florida

Profile Details

NPI number 1821412016
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 Feb 10th, 2014
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821412016 NPPES
Florida MEDICAID 029570124
Florida MEDICAID 029570117

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