FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC (NPI# 1508027848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508027848 |
Entity Type | Organization |
Organization Name | FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC |
Practice Address |
3415 Lee Blvd Lehigh Acres FL 33971-1576 |
Mailing Address |
Po Box 919771 Orlando FL 32891-9771 |
Practice Telephone | 2393442305 |
Practice Fax Number | 2393682044 |
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 |
---|---|---|---|---|---|
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 029570105 | 05 | |
FL | 056887204 | 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 |
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 |
3415 LEE BLVD |
City | LEHIGH ACRES |
State | FL |
Zip Code | 33971-1576 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275524670 | Kyle A Smith | Pediatrics | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2005-11-03 |
1669096269 | Eva Jones | Nurse Practitioner | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2020-05-31 |
1942823661 | Matthew Timothy Downes | Dentist | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2020-05-28 |
1922661073 | Family Health Centers of Southwest Florida Inc | Pharmacy | 3415 Lee Blvd, Lehigh Acres, FL 33971 | 2019-04-15 |
1871050500 | Linda T Nguyen | Dentist | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2019-02-28 |
1275089039 | Gianinna Teresa Folgarait | Internal Medicine | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2016-08-31 |
1245785690 | Jesus N Garcia | Podiatrist | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2016-08-15 |
1134578859 | Sandra Nairuby De Jesus Medina | Pediatrics | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2016-06-03 |
1568821700 | Yvania Y. Jimenez Mauri | Dentist | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2016-02-16 |
1346545985 | Colette Susan Haywood | Family Medicine | 3415 Lee Blvd, Lehigh Acres, FL 33971-1576 | 2011-01-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248096 | Katie L Kozlowski | Behavior Technician | 5220 Lee Boulevard, Bldg 6, Lehigh Acres, FL 33971 | 2020-08-31 |
1548821481 | Rosario Assisted Living Facility, Inc | Assisted Living Facility | 2616 22nd St W, Lehigh Acres, FL 33971 | 2019-06-21 |
1790340362 | Delia Hernandez | Behavior Technician | 2519 39th Street West, Lehigh Acres, FL 33971 | 2019-05-08 |
1669981122 | Ana Claudia Dormann | Specialist/Technologist | 5598 8th St West, Unit 3, Lehigh Acres, FL 33971 | 2017-09-27 |
1871803551 | The Joan of Arc Corporation | Day Training, Developmentally Disabled Services | 2618 44th Street West, Lehigh Acres, FL 33971 | 2010-10-15 |
1396970737 | Total Renal Care Inc | Clinic/Center | 5705 Lee Blvd Ste 16, Lehigh Acres, FL 33971 | 2009-05-28 |
1700039658 | Friendly Group Home Inc. | Day Training, Developmentally Disabled Services | 2602 50th Street West, Lehigh Acres, FL 33971 | 2008-10-23 |
1336266485 | Marjorie St.germain | Social Worker | 3709 9th Street Sw, Lehigh Acres, FL 33971 | 2007-03-23 |
1194841767 | Stanley Paul Blair | Dentist | 3003 Lee Blvd, Lehigh Acres, FL 33971 | 2007-03-22 |
1770652711 | Alan E Spinner | Chiropractor | 2718 Lee Boulevard, Suite C, Lehigh Acres, FL 33971 | 2006-11-06 |
Find all providers in zip 33971 |
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 |
---|---|---|---|---|
1184885410 | Family Health Centers of Southwest Florida Inc | Clinic/Center | 5220 Lee Blvd, Bldg. 1, Lehigh Acres, FL 33971-1021 | 2008-06-19 |
1447892773 | Lee Memorial Health System | Clinic/Center | 260 Beth Stacey Blvd, Lehigh Acres, FL 33936-6074 | 2019-10-08 |
1750830600 | Lee Memorial Health System | Clinic/Center | 5705 Lee Blvd, Suites 1 & 2, Lehigh Acres, FL 33971-6342 | 2016-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
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 |
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 |
Find all providers with the same taxonomy |
City | LEHIGH ACRES |
Zip Code | 33971 |
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.