Organization
GIA FFF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL GIRESI BA PSY (OWNER)
(727) 505-9877
Entity
Organization
Contact information
Practice address
9442 BARNSTEAD LN, PORT RICHEY, FL 34668-4303
(727) 505-9877
Mailing address
9442 BARNSTEAD LN, PORT RICHEY, FL 34668-4303
(727) 505-9877
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115999300
—
FL
05
—
23511316Z
—
FL
01
—
299996084
AHCA
FL
Enumeration date
05/30/2023
Last updated
08/12/2024
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