GCHSWFL Charlotte County Pediatric Specialty Clinic – Federally Qualified Health Center (FQHC), NPI 1205678240

GCHSWFL Charlotte County Pediatric Specialty Clinic is a healthcare provider. based in Fort myers, Florida. specializing in Federally Qualified Health Center (FQHC). The NPI Number for GCHSWFL Charlotte County Pediatric Specialty Clinic is 1205678240

Main info

Organization
Name
GCHSWFL Charlotte County Pediatric Specialty Clinic
NPI
1205678240
Phone
(941) 235-4900
Address
PO BOX 2147
Authorized Official
VIVIAN M RODRIGUEZ CREDENTIALING SPECIALIST
Enumeration Date
11 June 2024
Last Update Date
11 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness80
Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for GCHSWFL Charlotte County Pediatric Specialty Clinic

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (941) 235-4900

    Fax: (941) 235-4901

    Type: Mailing

  • 22655 BAYSHORE RD STE 110

    PORT CHARLOTTE, FL 339802005

    Phone: (412) 354-9009

    Fax: (941) 235-4901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33902)

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Frequently asked questions

What number should I use to identify GCHSWFL Charlotte County Pediatric Specialty Clinic for billing?
Administrative and clinical systems typically use NPI 1205678240 for GCHSWFL Charlotte County Pediatric Specialty Clinic.
Does the public listing show GCHSWFL Charlotte County Pediatric Specialty Clinic as active?
GCHSWFL Charlotte County Pediatric Specialty Clinic's NPI record reflects an active status in NPPES.
What services align with GCHSWFL Charlotte County Pediatric Specialty Clinic's listing?
GCHSWFL Charlotte County Pediatric Specialty Clinic's public classification highlights Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to GCHSWFL Charlotte County Pediatric Specialty Clinic?
GCHSWFL Charlotte County Pediatric Specialty Clinic is associated with Fort Myers, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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