Provider Demographics
NPI:1881746543
Name:FAMILIES FIRST OF FLORIDA LLC
Entity type:Organization
Organization Name:FAMILIES FIRST OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRIACO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-290-8560
Mailing Address - Street 1:4902 EISENHOWER BLVD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-6310
Mailing Address - Country:US
Mailing Address - Phone:813-290-8560
Mailing Address - Fax:813-354-2416
Practice Address - Street 1:4902 EISENHOWER BLVD
Practice Address - Street 2:SUITE 315
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-6310
Practice Address - Country:US
Practice Address - Phone:813-290-8560
Practice Address - Fax:813-354-2416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL760528500Medicaid
FL075677600Medicaid
FL075677602Medicaid
FL013088700Medicaid
FL766995000OtherPROVIDER
FL767028100OtherPROVIDER
FL766994100OtherPROVIDER