| Organization Name: | FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC |
| NPI Number: | 1326090390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANK S MAZZEO (PRESIDENT CEO) |
| Mailing Address: | 2232 Grand Ave Fort Myers |
| State: | FL US |
| Postal Code: | 339013717 |
| Phone Number: | 2393320417 |
| Fax Number: | 2393349417 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 07/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | PH7923 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |