MEDICARE: FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1790166999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA

Provider Business Mailing Address
First Line	:	PO BOX 919771
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-9771
Country	:	US
Telephone Number	:	239-278-3600
Fax Number	:	239-226-4650

Provider Business Practice Location Address
First Line	:	2256 HEITMAN ST
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-3744
Country	:	US
Telephone Number	:	239-278-3600
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. FRANK MAZZEO JR.
Credential	:	DDS
Telephone Number	:	239-314-1693

Provider Enumeration Date	:	06/12/2015
Last Update Date	:	06/21/2022

Similar Medicare Providers

1639465388 — DR. SHELANE ALEXIS JENKINS DDS
Practice Location Address:

2256 HEITMAN ST
FORT MYERS, FL
33901-3744

Practice Phone: 239-278-3600
Practice Fax: 239-278-3857

1417084534 — BUDGET MOBILILTY INC
Practice Location Address:

12165 S CLEVELAND AVE
FORT MYERS, FL
33907-3744

Practice Phone: 941-936-5577
Practice Fax: 941-936-6448

1821715681 — NATALIE KLINGBERG
Practice Location Address:

4957 EASTWOOD GREENS ST UNIT 305
FORT MYERS, FL
33905-3744

Practice Phone: 219-742-0280
Practice Fax:

1912905225 — MRS. BRENDA KAYE CUMMINGS OTR, CHT
Practice Location Address:

3744 S TIMBERLINE RD , SUITE 103
FORT COLLINS, CO
80525-4333

Practice Phone: 970-204-4263
Practice Fax: 970-204-4552

1225036536 — MRS. MAUD VALERIE MONNET P.T.
Practice Location Address:

3744 S TIMBERLINE RD , SUITE 103
FORT COLLINS, CO
80525-4333

Practice Phone: 970-204-4263
Practice Fax: 970-204-4552

1841298155 — MRS. SUSAN MARGARET DUKART OTR, CHT
Practice Location Address:

3744 S TIMBERLINE RD , SUITE 103
FORT COLLINS, CO
80525-4333

Practice Phone: 970-204-4263
Practice Fax: 970-204-4552

Directions to “FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.