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
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

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

General Provider Information

NPI Number	:	1962663211
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	:	4300 KINGS HWY
Second Line	:	SUITE 500
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33980-2917
Country	:	US
Telephone Number	:	239-344-2325
Fax Number	:	941-764-6176

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	FRANK MAZZEO JR.
Credential	:
Telephone Number	:	239-278-3600

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	05/18/2022

Similar Medicare Providers

1760488464 — DR. IDA JOANN GAGLIARDI M.D.
Practice Location Address:

4300 KINGS HWY , SUITE 210
PORT CHARLOTTE, FL
33980-2917

Practice Phone: 239-344-2306
Practice Fax: 941-629-2365

1366428633 — JOHN R LAMANNA JR. M.D.
Practice Location Address:

4300 KINGS HWY , STE 500
PORT CHARLOTTE, FL
33980-2917

Practice Phone: 239-344-2325
Practice Fax: 941-764-6176

1245333756 — DR. JOHN M DEMARCO DDS
Practice Location Address:

4300 KINGS HWY , #500
PORT CHARLOTTE, FL
33980-2917

Practice Phone: 239-344-2337
Practice Fax: 941-629-2365

1083859326 — SANDRA HEGARTY M.D
Practice Location Address:

4300 KINGS HWY , #500
PORT CHARLOTTE, FL
33980-2917

Practice Phone: 239-344-2325
Practice Fax: 941-764-6176

1053737049 — JASON SPEARS D.D.S.
Practice Location Address:

4300 KINGS HWY , SUITE 500
PORT CHARLOTTE, FL
33980-2917

Practice Phone: 239-344-2337
Practice Fax: 941-629-2365

1295145191 — FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
Practice Location Address:

4300 KINGS HWY , SUITE 210
PORT CHARLOTTE, FL
33980-2917

Practice Phone: 239-344-2306
Practice Fax: 941-629-2365

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.