# FAMILY FIRST COMMUNITY OUTREACH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164956561
- **Authorized official:** CHRISTIANE PREVILMA RN/MS (CEO)
- **Authorized official phone:** (561) 320-4053

## Contact information

- **Practice address:** 2006 CROSS BREEZE DR, WELLINGTON, FL 33414-8075
- **Practice address phone:** (561) 320-4053
- **Mailing address:** 14611 SOUTHERN BLVD UNIT 412, LOXAHATCHEE, FL 33470-6819
- **Mailing address phone:** (561) 320-4053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | — | NULL | Yes |
| 163WC1500X | Community Health Registered Nurse | — | — | Yes |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | NULL | — |
| 163WL0100X | Lactation Consultant (Registered Nurse) | — | — | — |
| 163WP0200X | Pediatric Registered Nurse | — | NULL | — |
| 163WP0200X | Pediatric Registered Nurse | — | — | — |
| 364SP0200X | Pediatric Clinical Nurse Specialist | — | NULL | — |
| 364SP0200X | Pediatric Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 04/12/2017
- **Last updated:** 01/27/2020