| Family Health Centers Of Southwest Florida Inc | |
|
11100 Summer Ridge Lane Fort Myers FL 33908-0000 | |
| (239) 344-2389 | |
| Not Available |
| Full Name | Family Health Centers Of Southwest Florida Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11100 Summer Ridge Lane, Fort Myers, Florida |
| Authorized Official Name and Position | Frank Mazzeo (PRESIDENT/CEO) |
| Authorized Official Contact | 2392783600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 11100 Summer Ridge Lane Fort Myers FL 33908-0000 Ph: (239) 344-2389 |
| NPI Number | 1891010393 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 06/21/2022 |
| Medicare PECOS PAC ID | 3173432085 |
|---|---|
| Medicare Enrollment ID | O20101101001370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891010393 | NPI | - | NPPES |
| 029570108 | Medicaid | FL | |
| 029570109 | Medicaid | FL | |
| 99409 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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