Provider Demographics
NPI:1801298286
Name:SINFONIA FAMILY SERVICES OF FLORIDA, INC
Entity type:Organization
Organization Name:SINFONIA FAMILY SERVICES OF FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JO-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRISCO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LPC
Authorized Official - Phone:772-214-1010
Mailing Address - Street 1:548 NW UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2284
Mailing Address - Country:US
Mailing Address - Phone:772-214-1010
Mailing Address - Fax:772-345-2837
Practice Address - Street 1:548 NW UNIVERSITY BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2284
Practice Address - Country:US
Practice Address - Phone:772-214-1010
Practice Address - Fax:772-345-2837
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SINFONIA HEALTHCARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health