MEDICARE: FAMILY FIRST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0401X	Addiction Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1003365800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FIRST

Provider Business Mailing Address
First Line	:	5220 HOOD ROAD
Second Line	:	SUITE 100
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8910
Country	:	US
Telephone Number	:	561-328-7370
Fax Number	:

Provider Business Practice Location Address
First Line	:	5220 HOOD ROAD
Second Line	:	SUITE 100
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8910
Country	:	US
Telephone Number	:	561-328-7370
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNT MANAGER
Name	:	TIMOTHY G SCHWABE
Credential	:	MSHSA, LHRM
Telephone Number	:	512-900-3363

Provider Enumeration Date	:	09/22/2016
Last Update Date	:	09/22/2016

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Directions to “FAMILY FIRST ” Practice Location

Language	Start Address	Practice Location

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