Organization
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MAZZEO JR. (PRESIDENT CEO)
(239) 278-3600
Entity
Organization
Contact information
Practice address
4300 KINGS HWY, SUITE 500, PORT CHARLOTTE, FL 33980-2917
(239) 344-2325
(941) 764-6176
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
(239) 226-4650
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029570112
—
FL
05
—
056887208
—
FL
Enumeration date
06/19/2008
Last updated
05/18/2022
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