Family Health Centers Of Southwest Florida Inc | |
11921 Saradrienne Ln #8 Bonita Springs FL 34135-5911 | |
(239) 344-2322 | |
(239) 390-0523 |
Full Name | Family Health Centers Of Southwest Florida Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 11921 Saradrienne Ln, Bonita Springs, Florida |
Authorized Official Name and Position | Frank Mazzeo (PRESIDENT CEO) |
Authorized Official Contact | 2392783600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Health Centers Of Southwest Florida Inc Po Box 919771 Orlando FL 32891-9771 Ph: (239) 278-3600 | Family Health Centers Of Southwest Florida Inc 11921 Saradrienne Ln #8 Bonita Springs FL 34135-5911 Ph: (239) 344-2322 |
NPI Number | 1558518456 |
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Provider Enumeration Date | 08/21/2008 |
Last Update Date | 05/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558518456 | NPI | - | NPPES |
029570120 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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