Organization Name: | KIDS FIRST |
NPI Number: | 1548472533 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONI ALEXIS RICHARDS-ROWLEY (PRESIDENT) |
Mailing Address: | 16301 Fishhawk Blvd Lithia |
State: | FL US |
Postal Code: | 33547 |
Phone Number: | 8136813800 |
Fax Number: | 8136813883 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 04/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 08/06/2008 |
NPI Reactivation Date: | 10/09/2013 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | ME85173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |