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NPI Code Detail

MEDICARE: FAMILY INITIATIVE INCORPORATED

MEDICARE: FAMILY INITIATIVE INCORPORATED
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
1225X00000XOccupational Therapist
2103K00000XBehavior Analyst1-08-4224FL

General Provider Information

NPI Number : 1104275551
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY INITIATIVE INCORPORATED
Provider Business Mailing Address
First Line : 730 SW 4TH ST STE 6
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-1984
Country : US
Telephone Number : 239-910-0712
Fax Number : 855-237-3130
Provider Business Practice Location Address
First Line : 730 SW 4TH ST STE 6
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-1984
Country : US
Telephone Number : 239-910-0712
Fax Number : 855-237-3130
Authorized Official
Title or Position : PRESIDENT
Name : DAVID BROWN
Credential : MSW
Telephone Number : 239-691-4517
Provider Enumeration Date : 06/07/2016
Last Update Date : 12/16/2025

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Directions to “FAMILY INITIATIVE INCORPORATED ” Practice Location

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