1013780519 NPI number — FAMILY FIRST OUTPATIENT SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013780519 NPI number — FAMILY FIRST OUTPATIENT SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY FIRST OUTPATIENT SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013780519
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11000 PROSPERITY FARMS RD STE 301
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALM BEACH GARDENS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33410-3462
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-328-7370
Provider Business Mailing Address Fax Number:
561-828-0783

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 COVE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH PALM BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33408-2727
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-328-7370
Provider Business Practice Location Address Fax Number:
561-828-0783
Provider Enumeration Date:
11/06/2023

Additional Information

Authorized Official

Authorized Official Last Name:
MCMANUS
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
B
Authorized Official Title or Position:
FOUNDER
Authorized Official Telephone Number:
561-328-7370

Provider Taxonomy Codes

  • Taxonomy code: 3245S0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com