Family Health Centers of Southwest Florida, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Port Charlotte, FL
NPI 1114698701 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1114698701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
- Practice address
- 4300 Kings Hwy Ste 210
Port Charlotte, FL 33980-2922 - Phone
- (239) 344-2306
- Fax
- (941) 629-2365
- NPI assigned
- Sep 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Frank Mazzeo Jr., DDS
- Title
- President/Ceo
- Phone
- (239) 278-3600
Corporate family (same tax ID) 28
National Provider Directory
- Tax ID family
- Debra C Skinner MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
4300 Kings Hwy Ste 210
Port Charlotte, FL 33980-2922
Mailing address
PO Box 919771
Orlando, FL 32891-0001
Phone (239) 278-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029570128 | Medicaid | FL | |
| 101180 | Other | FL | MEDICARE |
Other providers in Port Charlotte, FL
- Family Extended Care of Punta Gorda, Inc
- Family Eyecare Center
- Family Eyecare Center, LLC.
- Family Foot and Leg Center PA
- Family Health Centers of Southwest Florida Inc
- Family Health Centers of Southwest Florida, Inc.
- Family Health Centers of Southwest Florida, Inc.
- Family Home Care II, Inc.
- Family Home Health Services LLC
- Family Home Medical Equipment & Supplies, LLC
All providers in Port Charlotte, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.