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FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
NPI 1114698701
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Charlotte, FL

Active since September 23, 2021CLIA 10D2053364 · Waiver
4300 KINGS HWY STE 210, PORT CHARLOTTE, FL 33980(239) 344-2306(941) 629-2365 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Sep 23, 2021 (2 updates tracked since 2021).

About Family Health Centers Of Southwest Florida, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. (NPI 1114698701) is a healthcare organization registered as a federally qualified health center (fqhc) in Port Charlotte, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Frank Mazzeo, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1114698701
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
Location Address4300 KINGS HWY STE 210Port Charlotte, FL 33980-2922
Mailing AddressPo Box 919771Orlando, FL 32891-0001 · (239) 278-3600 · Fax (239) 479-5202
Phone(239) 344-2306
Fax(941) 629-2365
Organization SubpartNo
Authorized OfficialFrank MazzeoPresident/ceo · (239) 278-3600
Enumeration DateSeptember 23, 2021
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1114698701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4300 KINGS HWY STE 210, Port Charlotte, FL 33980
Open in Google Maps ↗

Other Identifiers 2

Other101180FL · Medicare
Medicaid029570128FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2053364

Family Health Centers Of Southwest Florida Inc Bonita Pediatrics · Labelle, FL
Active · expires Jan 29, 2027
CLIA Number10D2053364
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorSarah Lake
Laboratory Phone(239) 278-3600
Laboratory LocationFamily Health Centers Of Southwest Florida Inc Bonita Pediatrics169 W Hickpochee Ave, Labelle, FL 33935
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLORIA CAROLINA LOPEZ ALVARENGA MD
Internal Medicine
4300 KINGS HWY STE 210
PORT CHARLOTTE, FL 33980
Charlotte County (239) 344-2306
DR. ALEXANDER SERBANESCU M.D.
Family Medicine
4300 KINGS HWY STE 210
PORT CHARLOTTE, FL 33980
Charlotte County (239) 344-2306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Health Centers Of Southwest Florida, Inc.'s NPI number?

The NPI number for Family Health Centers Of Southwest Florida, Inc. is 1114698701. It was assigned to this organization in the NPPES registry on September 23, 2021.

Where is Family Health Centers Of Southwest Florida, Inc. located?

Family Health Centers Of Southwest Florida, Inc. is located at 4300 Kings Hwy Ste 210, Port Charlotte, FL 33980. The listed phone number is (239) 344-2306.

What is Family Health Centers Of Southwest Florida, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Family Health Centers Of Southwest Florida, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2053364) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Health Centers Of Southwest Florida, Inc. was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.