FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC. NPI 1336819614

NPI Information

NPI: 1336819614
Provider Name: FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
305 SW 2ND TER
CAPE CORAL, FL
ZIP 33991
Phone: (239) 344-2320
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FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. is a federally qualified health center (fqhc) clinic center in Cape Coral, FL. FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. NPI is 1336819614. The provider is registered as an organization entity type.

The provider's business location address is:

305 SW 2ND TER
CAPE CORAL, FL
ZIP 33991-958
Phone: (239) 344-2320
Fax: (239) 573-3226

The provider's authorized official is Frank Mazzeo .
The authorized official title is President/ceo and has the following contact phone number (239) 278-3600.

The enumeration date for this NPI number is 9/17/2021 and was last updated on 9/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101927	OTHER	FLORIDA	MEDICARE
2	056887206	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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