FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. – NPI #1366112658
Clinic/Center

FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. is an AHC clinic located in LABELLE, FL. NPPES has assigned the NPI number 1366112658 to FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. on September 17, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on May 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. below.

NPI Profile for
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.

NPI Number
1366112658
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
Primary location
930 S MAIN ST
LABELLE, FL 33935-4448
Phone: (863) 675-0160 Fax: (863) 675-1346
Mailing address
PO BOX 919771
ORLANDO, FL 32891-0001
Phone: (239) 278-3600 Fax: (239) 479-5122
Organization Subpart
No
Authorized Official
FRANK MAZZEO
PRESIDENT/CEO
Phone: (239) 278-3600
Updated
Certification Date
May 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAREFL101885
MEDICAIDFL029570137
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.