FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. (NPI# 1871946368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871946368 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. |
| Practice Address |
10501 Fgcu Blvd S Fort Myers FL 33965-6502 |
| Mailing Address |
Po Box 1357 Fort Myers FL 33902-1357 |
| Practice Telephone | 2392783600 |
| Practice Fax Number | 2392783857 |
| Mailing Telephone | 2392783600 |
| Mailing Fax Number | 2392783857 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | FRANK MAZZEO (PRESIDENT/CEO) |
| Authorized Official Telephone | 2392783600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853154 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 1926 Victoria Ave, Fort Myers, FL 33901-3414 | 2017-11-02 |
| 1295145191 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 4300 Kings Hwy, Suite 210, Port Charlotte, FL 33980-2917 | 2014-04-30 |
| 1417377813 | Family Health Centers of Southwest Florida, Inc. | Pharmacy | 316 Del Prado Blvd S, Cape Coral, FL 33990-1710 | 2014-04-24 |
| 1821412016 | Family Health Centers of Southwest Florida, Inc. | Pharmacy | 19701 S Tamiami Trl, Fort Myers, FL 33908-4818 | 2014-02-10 |
| 1366748402 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 3600 Broadway, Suite A, Fort Myers, FL 33901-8002 | 2011-02-08 |
| 1891005047 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 11921 Saradrienne Ln, Bonita Springs, FL 34135-5911 | 2010-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. | 2256 Heitman St, Fort Myers, FL 33901-3744 |
| Street Address |
10501 FGCU BLVD S |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33965-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368753 | Christie D. Shore | Nurse Practitioner | 10501 Fgcu Blvd S, Student Health Center/fgcu, Fort Myers, FL 33965-6502 | 2005-07-01 |
| 1053924100 | John Thomas Rowell | Physical Medicine & Rehabilitation | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6565 | 2020-08-28 |
| 1679185961 | Brett A Clinton | Registered Nurse | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2020-08-19 |
| 1275141558 | Florida Gulf Coast Univeristy | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2020-07-22 |
| 1164041448 | Tess Fleming | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-2541 | 2020-04-16 |
| 1952937609 | Jacqueline Joy Battjes | Registered Nurse | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2020-03-13 |
| 1811520901 | Florida Gulf Coast University | Clinic/Center | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6565 | 2020-02-17 |
| 1326576836 | Colleen Weber | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2017-05-28 |
| 1932645694 | Khuri Black | Student in an Organized Health Care Education/Training Program | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2017-01-18 |
| 1124425426 | Brittany Loring | Specialist/Technologist | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2014-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326322207 | Lori D Carroll | Social Worker | 10501 Fgcu Blvd South, Department of Social Work, Fort Myers, FL 33965 | 2011-10-10 |
| 1093227951 | Devon Benson | Specialist/Technologist | 1000 Fgcu Campus Housing Cy04, Fort Myers, FL 33965-0001 | 2017-11-01 |
| 1255385092 | Michael A. Estes | Specialist/Technologist | Florida Gulf Coast University, 10501 Fgcu Blvd. South, Ft Myers, FL 33965-0001 | 2006-05-19 |
| 1437231677 | Rebecca Lou Johnson | Emergency Medicine | Florida Gulf Coast University, 10501 Fgcu Blvd. South, Fort Myers, FL 33965-0001 | 2006-10-19 |
| 1033315213 | Jean Hershey Fitch | Nurse Practitioner | Florida Gulf Coast University Student Health Services, 10501 Fgcu Boulevard South, Fort Myers, FL 33965-6565 | 2007-06-25 |
| 1396951497 | George Joseph Arthur Magnant | Pediatrics | Fgcu Student Health Services Ctr, 10501 Fgcu Blvd .s., Fort Myers, FL 33965-6565 | 2007-05-15 |
| 1487723581 | Florida Gulf Coastuniversity Wellness Center | Clinic/Center | Florida Gulf Coast University, 10501 Fgcu Boulevard S., Fort Myers, FL 33965-6565 | 2006-11-06 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853154 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 1926 Victoria Ave, Fort Myers, FL 33901-3414 | 2017-11-02 |
| 1891010393 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 13195 Metro Parkway, Suites 6-9, Fort Myers, FL 33966-0000 | 2010-03-29 |
| 1942826623 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907-3655 | 2020-06-18 |
| 1407472186 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907-3655 | 2020-06-18 |
| 1013559343 | Lee Memorial Health System | Clinic/Center | 4751 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2019-10-08 |
| 1538607031 | Lee Memorial Health System | Clinic/Center | 16271 Bass Rd, Fort Myers, FL 33908-3616 | 2017-02-03 |
| 1881131423 | Lee Memorial Health System | Clinic/Center | 4040 Palm Beach Blvd, Suite F, Fort Myers, FL 33916-3470 | 2017-01-20 |
| 1891142238 | Lee Memorial Health System | Clinic/Center | 3511 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4651 | 2016-05-16 |
| 1366748402 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 3600 Broadway, Suite A, Fort Myers, FL 33901-8002 | 2011-02-08 |
| 1669634903 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 4040 Palm Beach Blvd, Fort Myers, FL 33916-3470 | 2008-06-27 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33965 |
Please comment or provide details below to improve the information on FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.