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
Phone: (239) 314-1600
Fax: (239) 425-6402
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 | ||
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821412016 | NPPES |
| Florida | MEDICAID | 029570124 | |
| Florida | MEDICAID | 029570117 |
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