Provider Demographics
NPI:1225178437
Name:ABILITIES INC OF FLORIDA
Entity Type:Organization
Organization Name:ABILITIES INC OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-538-7370
Mailing Address - Street 1:2735 WHITNEY RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-1610
Mailing Address - Country:US
Mailing Address - Phone:727-538-7370
Mailing Address - Fax:727-538-7387
Practice Address - Street 1:2735 WHITNEY RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-1610
Practice Address - Country:US
Practice Address - Phone:727-538-7370
Practice Address - Fax:727-538-7387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL672575979Medicaid
FL687241700Medicaid