FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC (NPI# 1124289475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124289475 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC |
| Practice Address |
9800 S Healthpark Dr Suite 110 Fort Myers FL 33908-7603 |
| Mailing Address |
Po Box 919771 Orlando FL 32891-9771 |
| Practice Telephone | 2393442307 |
| Practice Fax Number | 2392676219 |
| 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 | 029570118 | 05 | |
| FL | 029570119 | 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 |
| 1962663211 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 4300 Kings Hwy, Suite 500, Port Charlotte, FL 33980-2917 | 2008-06-19 |
| 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 |
| Street Address |
9800 S HEALTHPARK DR SUITE 110 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-7603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578538799 | Teresa A Bukaweski | Registered Nurse | 9800 S Healthpark Dr, #410, Fort Myers, FL 33908-7603 | 2006-02-21 |
| 1649652314 | Diane Horton | Dietitian, Registered | 9800 S Healthpark Dr, Fort Myers, FL 33908-7603 | 2015-06-18 |
| 1619369063 | Carla Whitt | Nurse Practitioner | 9800 S Healthpark Dr, Suite 320, Fort Myers, FL 33908-3630 | 2015-02-23 |
| 1871865246 | Karen Evelyn Booth | Nurse Practitioner | 9800 S Healthpark Dr, Suite 320, Fort Myers, FL 33908-3630 | 2012-02-01 |
| 1710119490 | Rosalia Nerina Fusco | Registered Nurse | 9800 S Healthpark Dr, Ste 410, Fort Myers, FL 33908-7603 | 2009-08-14 |
| 1770723629 | Karine G Marancy | Registered Nurse | 9800 S Healthpark Dr, Suite 410, Fort Myers, FL 33908-7603 | 2009-03-04 |
| 1730333824 | Kelly A Shreve | Registered Nurse | 9800 S Healthpark Dr, Suite 410, Fort Myers, FL 33908-7603 | 2008-11-17 |
| 1689845737 | Alicia C Nemeth | Registered Nurse | 9800 S Healthpark Dr, Suite 410, Fort Myers, FL 33908-7603 | 2008-03-17 |
| 1710165337 | Heather R Sauerbier | Registered Nurse | 9800 S Healthpark Dr, Suite 410, Fort Myers, FL 33908-7603 | 2008-02-06 |
| 1841496460 | Lee Memorial Health System | Clinic/Center | 9800 S Healthpark Dr, Suite 205, Fort Myers, FL 33908-7603 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| 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 |
| 1871946368 | Family Health Centers of Southwest Florida, Inc. | Clinic/Center | 10501 Fgcu Blvd S, Fort Myers, FL 33965-6502 | 2016-07-20 |
| 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 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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.