NPIMap

Organization Active NPI

Family Health Centers of Southwest Florida, Inc.

  • Psychiatry Physician
  • Fort Myers, FL
National Provider Identifier
1538054010
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
Practice address
1926 Victoria Ave
Fort Myers, FL 33901-3414
Phone
(844) 342-7935
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Jorge M Quinonez, CMONPI 1578554218
Title
Chief Medical Officer
Phone
(239) 278-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1926 Victoria Ave
Fort Myers, FL 33901-3414

Mailing address

2270 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 344-2391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251103003910 FL Part A Provider - Federally Qualified Health Center (FQHC) 3173432085 Practice locations: Fort Myers, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538054010. Details of each certification follow.

Federally qualified health center certification: CCN C11067

Legal name
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 6, 2025
Last certification
Nov 6, 2025
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
1926 Victoria Ave
Fort Myers, FL 33901-3414

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Debra C Skinner MD29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

26800 S Tamiami Trl
Ste 380
Bonita Springs, FL 34134
Phone (239) 254-8884

28341 S Tamiami Trl
#B4
Bonita Springs, FL 34134
Phone (239) 344-2353

4450 Bonita Beach Rd
Ste 17
Bonita Springs, FL 34134
Phone (941) 992-3760

13195 Metro Pkwy
Fort Myers, FL 33966
Phone (239) 344-2348

15570 Hagie Dr
Fort Myers, FL 33908
Phone (239) 931-3878

1926 Victoria Ave
Fl 1
Fort Myers, FL 33901

3511 Martin Luther King Blvd
Fort Myers, FL 33916
Phone (239) 343-4910

3594 Broadway
Fort Myers, FL 33901
Phone (239) 344-2330

4211 Romeo Ln
Fort Myers, FL 33916
Phone (239) 332-0417

8750 Gladiolus Dr
Ste 6
Fort Myers, FL 33908
Phone (941) 437-0008

730 E Cowboy Way
Labelle, FL 33935
Phone (863) 675-2334

3400 Lee Blvd
Ste 101104
Lehigh Acres, FL 33971
Phone (239) 344-2305

391 Lee Blvd
Ste 200
Lehigh Acres, FL 33936
Phone (239) 344-9236

5220 Lee Blvd
Unit 1
Lehigh Acres, FL 33971
Phone 23927836003216

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jorge M Quinonez Individual Corporate DirectorEvp, Cmo Jan 1, 2010
W-2 Managing Employee Jul 5, 2005
Frank Mazzeo Individual Corporate OfficerPresident/Ceo Oct 10, 2009 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1538054010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-344-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 VICTORIA AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013414",
            "telephone_number": "844-342-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "QUINONEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "239-278-3600",
        "authorized_official_credential": "CMO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.