DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.

MEDICARE: FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
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
13336C0002XClinic PharmacyPH28479FL
2261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821412016
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
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 : 19701 S TAMIAMI TRL
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4818
Country : US
Telephone Number : 239-314-1600
Fax Number : 239-425-6402
Authorized Official
Title or Position : PRESIDENT/ CEO
Name : FRANK MAZZEO JR.
Credential : DDS
Telephone Number : 239-278-3600
Provider Enumeration Date : 02/10/2014
Last Update Date : 05/18/2022

Similar Medicare Providers

1710822556 — SHREEYA DESAI DMD
Practice Location Address:
19701 S TAMIAMI TRL
FORT MYERS, FL
33908-4818
Practice Phone: 239-278-3600
Practice Fax:
1972832095 — DR. RONALD JAMES RAMIREZ M.D.
Practice Location Address:
19701 S TAMIAMI TRL
FORT MYERS, FL
33908-4818
Practice Phone: 239-314-1600
Practice Fax: 239-425-6402
1891069233 — LIZA N CHARLES M.D
Practice Location Address:
19701 S TAMIAMI TRL
FORT MYERS, FL
33908-4818
Practice Phone: 239-314-1660
Practice Fax: 239-425-6404
1568821700 — YVANIA Y. JIMENEZ MAURI DDS
Practice Location Address:
19701 S TAMIAMI TRL
FORT MYERS, FL
33908-4818
Practice Phone: 239-314-1630
Practice Fax: 239-425-6401
1750944641 — DR. PRINCESS CYNTHIA NNEAMAKA UFOEGBUNE M.D.
Practice Location Address:
19701 S TAMIAMI TRL
FORT MYERS, FL
33908-4818
Practice Phone: 393-141-6002
Practice Fax: 239-425-6402
1497300305 — STEPHANIE LEE BRANDAO DMD
Practice Location Address:
19701 S TAMIAMI TRL
FORT MYERS, FL
33908-4818
Practice Phone: 239-314-1630
Practice Fax: 239-425-6401

Directions to “FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. ” 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 © 2007-2026 (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.