Provider Demographics
NPI:1164860987
Name:FAMILY FIRST PEDIATRICS P A
Entity Type:Organization
Organization Name:FAMILY FIRST PEDIATRICS P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:SELSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-388-4682
Mailing Address - Street 1:1049 WILLA SPRINGS DR
Mailing Address - Street 2:SUITE 1031
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5246
Mailing Address - Country:US
Mailing Address - Phone:407-335-4760
Mailing Address - Fax:407-388-0104
Practice Address - Street 1:1049 WILLA SPRINGS DR
Practice Address - Street 2:SUITE 1031
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5246
Practice Address - Country:US
Practice Address - Phone:407-335-4760
Practice Address - Fax:407-388-0104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64462208000000X
2080H0002X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative MedicineGroup - Multi-Specialty
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-OncologyGroup - Multi-Specialty