# FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790166999
- **Authorized official:** DR. FRANK MAZZEO JR. DDS (CEO)
- **Authorized official phone:** (239) 314-1693

## Contact information

- **Practice address:** 2256 HEITMAN ST, FORT MYERS, FL 33901-3744
- **Practice address phone:** (239) 278-3600
- **Mailing address:** PO BOX 919771, ORLANDO, FL 32891-9771
- **Mailing address phone:** (239) 278-3600
- **Mailing address fax:** (239) 226-4650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2015
- **Last updated:** 06/21/2022