Organization
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MAZZEO JR. DDS (PRESIDENT/CEO)
(239) 278-3600
Entity
Organization
Contact information
Practice address
316 DEL PRADO BLVD S, CAPE CORAL, FL 33990-1710
(239) 314-1616
(239) 772-1613
Mailing address
PO BOX 919771, ORLANDO, FL 32891-0001
(239) 278-3600
(239) 479-5122
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029570126
—
FL
01
—
101179
MEDICARE
FL
Enumeration date
09/17/2021
Last updated
05/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us