FIRST FAMILY PRACTICE INC NPI 1518130509

NPI Information

NPI: 1518130509
Provider Name: FIRST FAMILY PRACTICE, INC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 320 1ST ST S
SUITE 200
WINTER HAVEN, FL
ZIP 33880
Phone: (863) 294-6132

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NPI Details

FIRST FAMILY PRACTICE, INC is a primary care clinic center in Winter Haven, FL. FIRST FAMILY PRACTICE, INC NPI is 1518130509. The provider is registered as an organization entity type.

The provider's business location address is:

320 1ST ST S
SUITE 200
WINTER HAVEN, FL
ZIP 33880-501
Phone: (863) 294-6132
Fax: (863) 293-8450

The provider's authorized official is Tommy L Louisville .
The authorized official title is Medical Director and has the following contact phone number (863) 294-6132.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 10/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01112353	OTHER	FLORIDA	AMERIGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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