Family Health Centers of Southwest Florida, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Labelle, FL
NPI 1366112658 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1366112658
- 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
- 930 S Main St
Labelle, FL 33935-4448 - Phone
- (863) 675-0160
- Fax
- (863) 675-1346
- NPI assigned
- Sep 17, 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
930 S Main St
Labelle, FL 33935-4448
Mailing address
PO Box 919771
Orlando, FL 32891-0001
Phone (239) 278-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029570137 | Medicaid | FL | |
| 101885 | Other | FL | MEDICARE |
Other providers in Labelle, FL
- Richard A. Ellis
- William Manrique Escobar
- Yadisleidy Exposito
- Daniela Fajardo Rodriguez
- Family Health Centers of Southwest Florida Inc
- Family Health Centers of Southwest Florida, Inc.
- Kathryn Feig
- Rheannan Elouise Flint
- Florida Department of Health
- Alisia Frerich
All providers in Labelle, 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.