Organization Active NPI

Farah Family Health Center Inc

  • Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1063632040
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0026178 Issued in FL
Legal business name
FARAH FAMILY HEALTH CENTER INC
Practice address
3049 Cleveland Ave
Suite 102
Fort Myers, FL 33901-7049
Phone
(239) 334-3545
Fax
(239) 334-6085
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Guy P Larsen, MD
Title
Director
Phone
(239) 334-3545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME0026178 FL
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME0026178 FL Primary

Addresses

Primary practice location

3049 Cleveland Ave
Suite 102
Fort Myers, FL 33901-7049

Mailing address

PO Box 9267
Fort Myers, FL 33902-9267
Phone (239) 334-3545

National Provider Directory

National Provider Directory

Locations

3049 Cleveland Ave
Ste 102
Fort Myers, FL 33901
Phone (239) 334-3545

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063632040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9267",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339029267",
            "telephone_number": "239-334-3545",
            "fax_number": "239-334-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 CLEVELAND AVE",
            "address_2": "SUITE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017049",
            "telephone_number": "239-334-3545",
            "fax_number": "239-334-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAH FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-334-3545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0026178",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0026178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.