FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC (NPI# 1962663211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962663211 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC |
| Practice Address |
4300 Kings Hwy Suite 500 Port Charlotte FL 33980-2917 |
| Mailing Address |
Po Box 919771 Orlando FL 32891-9771 |
| Practice Telephone | 2393442325 |
| Practice Fax Number | 9417646176 |
| Mailing Telephone | 2392783600 |
| Mailing Fax Number | 2392264650 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | FRANK MAZZEO JR. (PRESIDENT CEO) |
| Authorized Official Telephone | 2392783600 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029570112 | 05 | |
| FL | 056887208 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891010393 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 13195 Metro Parkway, Suites 6-9, Fort Myers, FL 33966-0000 | 2010-03-29 |
| 1184885410 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 5220 Lee Blvd, Bldg. 1, Lehigh Acres, FL 33971-1021 | 2008-06-19 |
| 1902417272 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 535 Pine Island Rd Ste M, North Fort Myers, FL 33903-3700 | 2020-08-11 |
| 1922661073 | Family Health Centers of Southwest Florida Inc | Pharmacy | 3415 Lee Blvd, Lehigh Acres, FL 33971 | 2019-04-15 |
| 1558518456 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 11921 Saradrienne Ln, #8, Bonita Springs, FL 34135-5911 | 2008-08-21 |
| 1669634903 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 4040 Palm Beach Blvd, Fort Myers, FL 33916-3470 | 2008-06-27 |
| 1508027848 | Family Health Centers of Southwest Florida Inc | Pharmacy | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2008-06-19 |
| 1063673382 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 26800 S Tamiami Trl, #150, Bonita Springs, FL 34134-4349 | 2008-06-19 |
| 1770744013 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 8359 Stringfellow Rd, St James City, FL 33956-2910 | 2008-06-19 |
| 1851552186 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 305 Sw 2nd Ter, Cape Coral, FL 33991-1958 | 2008-06-19 |
| Street Address |
4300 KINGS HWY SUITE 500 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33980-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488464 | Ida Joann Gagliardi | Family Medicine | 4300 Kings Hwy, Suite 210, Port Charlotte, FL 33980-2917 | 2005-06-27 |
| 1700270394 | Sonya S Hasan | Dentist | 4300 Kings Hwy, #500, Port Charlotte, FL 33980-2917 | 2015-03-23 |
| 1295145191 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 4300 Kings Hwy, Suite 210, Port Charlotte, FL 33980-2917 | 2014-04-30 |
| 1053737049 | Jason Spears | Dentist | 4300 Kings Hwy, Suite 500, Port Charlotte, FL 33980-2917 | 2014-03-13 |
| 1083859326 | Sandra Hegarty | Pediatrics | 4300 Kings Hwy, #500, Port Charlotte, FL 33980-2917 | 2008-12-15 |
| 1245333756 | John M Demarco | Dentist | 4300 Kings Hwy, #500, Port Charlotte, FL 33980-2917 | 2006-09-07 |
| 1366428633 | John R Lamanna Jr. | Pediatrics | 4300 Kings Hwy, Ste 500, Port Charlotte, FL 33980-2917 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1649616517 | Anne Yvonne Clarke | Nurse's Aide | 3378 Idlewild Street, Port Charlotte, FL 33980 | 2013-05-17 |
| 1427395680 | John F Guarino Md Pa | Surgery | 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 | 2013-01-08 |
| 1497049027 | Patricia Ann Drow | Occupational Therapist | 24469 Manchester Trail, Port Charlotte, FL 33980 | 2011-05-31 |
| 1811221484 | Amanda K Huffman | Clinical Nurse Specialist | 22655 Bayshore Rd Ste 130, Port Charlotte, FL 33980 | 2009-09-29 |
| 1093967739 | Donna Olson | Nurse Practitioner | 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2008-10-14 |
| 1821278029 | Paula Marie Allison | Dietitian, Registered | 23422 Burlingame Ave, Port Charlotte, FL 33980 | 2007-11-06 |
| 1689865891 | Keith Anthony Williams | Physical Medicine & Rehabilitation | 4265 Laura Street, Port Charlotte, FL 33980 | 2007-08-05 |
| 1578685491 | Richard Michael Cocchieri | Dentist | Florida Department of Health In Charlotte County, 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2007-04-03 |
| 1417989328 | John F Guarino | Surgery | 4245 Kings Highway, Unit A, Port Charlotte, FL 33980 | 2006-07-07 |
| Find all providers in zip 33980 | ||||
| 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 |
|---|---|---|---|---|
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1295145191 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 4300 Kings Hwy, Suite 210, Port Charlotte, FL 33980-2917 | 2014-04-30 |
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| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| 1477199289 | Community Health Centers, Inc. | Clinic/Center | 509 Cagan View Rd, Clermont, FL 34714-6405 | 2019-11-27 |
| 1396395075 | Citrus Health Network | Clinic/Center | 1645a Sw 107th Ave, Miami, FL 33165-7344 | 2019-09-16 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33980 |
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.