Provider Demographics
NPI:1639973365
Name:FAMILIES FIRST PRIMARY CARE
Entity type:Organization
Organization Name:FAMILIES FIRST PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-879-7911
Mailing Address - Street 1:2888 MAHAN DR STE 3
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5465
Mailing Address - Country:US
Mailing Address - Phone:850-402-6210
Mailing Address - Fax:850-325-6015
Practice Address - Street 1:2888 MAHAN DR STE 3
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5465
Practice Address - Country:US
Practice Address - Phone:850-402-6210
Practice Address - Fax:850-325-6015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care