Provider Demographics
NPI:1003365800
Name:FAMILY FIRST
Entity type:Organization
Organization Name:FAMILY FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHWABE
Authorized Official - Suffix:
Authorized Official - Credentials:MSHSA, LHRM
Authorized Official - Phone:512-900-3363
Mailing Address - Street 1:5220 HOOD ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-8910
Mailing Address - Country:US
Mailing Address - Phone:561-328-7370
Mailing Address - Fax:
Practice Address - Street 1:5220 HOOD ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-8910
Practice Address - Country:US
Practice Address - Phone:561-328-7370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty