FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC NPI 1891010393

NPI Information

NPI: 1891010393
Provider Name: FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
11100 SUMMER RIDGE LANE
FORT MYERS, FL
ZIP 33908
Phone: (239) 344-2389
Get Directions

FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC is a federally qualified health center (fqhc) clinic center in Fort Myers, FL. FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC NPI is 1891010393. The provider is registered as an organization entity type.

The provider's business location address is:

11100 SUMMER RIDGE LANE
FORT MYERS, FL
ZIP 33908-000
Phone: (239) 344-2389

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 3/29/2010 and was last updated on 8/19/2021.

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	029570109	MEDICAID	FLORIDA
2	99409	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
3	029570108	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »