Florida Mentor – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1013093616

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Florida Mentor is a healthcare provider. based in Tampa, Florida. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The organization holds a License No. 4060096 (FL). The NPI Number for Florida Mentor is 1013093616

Main info

Organization
Name
Florida Mentor
NPI
1013093616
Phone
(813) 630-1746
Address
3258 PARKSIDE CENTER CIR
Authorized Official
BRETT IAN COHEN COO
Enumeration Date
27 October 2006
Last Update Date
4 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Florida Mentor

  • 3258 PARKSIDE CENTER CIR

    TAMPA, FL 336190907

    Phone: (813) 630-1746

    Fax: (813) 630-1903

    Type: Mailing

  • 313 CONGRESS ST

    BOSTON, MA 022101218

    Phone: (800) 388-5150

    Fax: (617) 790-4271

    Type: Mailing

  • 4550, Ricker Road, North Oak Hill, Jacksonville, Duval County, Florida, 32210, United States

    JACKSONVILLE, FL 322106308

    Phone: (904) 778-0935

    Fax: (904) 778-8396

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33619)

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Reviews

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Frequently asked questions

What number should I use to identify Florida Mentor for billing?
Administrative and clinical systems typically use NPI 1013093616 for Florida Mentor.
Should I treat Florida Mentor as an active provider?
Patients and plans typically see Florida Mentor as active in the national extract.
How should patients interpret Florida Mentor's specialty?
The extract shows Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility for Florida Mentor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Florida Mentor?
Florida Mentor is associated with Tampa, Florida in the same public data insurers reference.
Can I export Florida Mentor's record?
You can download the official NPPES record; we summarize key fields for readability.

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