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
4300 KINGS HWY STE 500, PORT CHARLOTTE, FL 33980-2953
(239) 344-2325
(941) 764-6176
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
—
056887208
—
FL
01
—
101934
MEDICARE
FL
Enumeration date
09/17/2021
Last updated
06/21/2022
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