| Families First Of Florida Llc | |
|
4902 Eisenhower Blvd Suite 315 Tampa FL 33634-6310 | |
| (813) 290-8560 | |
| (813) 354-2416 |
| Full Name | Families First Of Florida Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4902 Eisenhower Blvd, Tampa, Florida |
| Authorized Official Name and Position | Carolanne Patriaco (CEO) |
| Authorized Official Contact | 8132908560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Families First Of Florida Llc 4902 Eisenhower Blvd Suite 315 Tampa FL 33634-6310 Ph: (813) 290-8560 | Families First Of Florida Llc 4902 Eisenhower Blvd Suite 315 Tampa FL 33634-6310 Ph: (813) 290-8560 |
| NPI Number | 1881746543 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 6800325457 |
|---|---|
| Medicare Enrollment ID | O20250127000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881746543 | NPI | - | NPPES |
| 760528500 | Medicaid | FL | |
| 075677600 | Medicaid | FL | |
| 075677602 | Medicaid | FL | |
| 013088700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Banaly Blaise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225578495 PECOS PAC ID: 7012320849 Enrollment ID: I20210115000298 |
| Provider Name | Marceline Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720424161 PECOS PAC ID: 2062859333 Enrollment ID: I20240321003258 |
| Provider Name | Lynette Musante Hathaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619003266 PECOS PAC ID: 1254860828 Enrollment ID: I20250128000615 |
| Provider Name | Shari Marino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821426206 PECOS PAC ID: 9931638509 Enrollment ID: I20250128000759 |
| Provider Name | Steven John Perham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720510399 PECOS PAC ID: 3274062856 Enrollment ID: I20250128000890 |
| Provider Name | Jeannette Marie D'amore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174741243 PECOS PAC ID: 0446780761 Enrollment ID: I20250214002688 |
| Provider Name | David Longton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588398267 PECOS PAC ID: 0648792028 Enrollment ID: I20250314000721 |
| Provider Name | Michelle Lee Carmona |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710508908 PECOS PAC ID: 0143742999 Enrollment ID: I20250320003531 |
| Provider Name | Rhonda R Skomp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841884459 PECOS PAC ID: 3779005525 Enrollment ID: I20250320003582 |
| Provider Name | Cody Michiko Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851883557 PECOS PAC ID: 9032631742 Enrollment ID: I20250321001773 |
| Provider Name | Denise Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891049888 PECOS PAC ID: 4082136726 Enrollment ID: I20250321002475 |
| Provider Name | Priscilla Kunkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679841696 PECOS PAC ID: 7618499377 Enrollment ID: I20250321003076 |
| Provider Name | Eric John Intravaia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689038085 PECOS PAC ID: 5799209193 Enrollment ID: I20250407003437 |
| Provider Name | Ada Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669911046 PECOS PAC ID: 5496271280 Enrollment ID: I20250424001709 |
| Provider Name | Jeveyne Caines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477105310 PECOS PAC ID: 4082133715 Enrollment ID: I20250527002528 |
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