{"npi":"1295145191","type":"NPI-2","status":"active","name":{"display":"Family Health Centers Of Southwest Florida, Inc.","other":[],"organization_name":"FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.","authorised_official":"Frank Mazzeo"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4300 KINGS HWY","city":"PORT CHARLOTTE","state":"FL","postal_code":"339802917","country_code":"US","street_2":"SUITE 210","phone":"2393442306","fax":"9416292365"},{"purpose":"MAILING","street_1":"PO BOX 919771","city":"ORLANDO","state":"FL","postal_code":"328919771","country_code":"US","phone":"2392783600","fax":"2392264650"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"029570128","state":"FL","issuer":null},{"type_code":"05","label":"Medicaid","value":"029570127","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"99409","state":"FL","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20141021002199","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"FL","pac_id":"3173432085"}]},"enumeration_date":"2014-04-30","last_updated":"2022-05-18","_meta":{"source":"NPPES","snapshot_date":"2022-05-18","doc_url":"https://findmynpi.com/api"}}