1st Choice Medical Services
Preferred Provider Organization in Fernandina Beach, FL. Organization (NPI-2).
NPI number1184958910
StatusActive
Last updated in NPPESSep 27, 2009
Details
- NPI
- 1184958910
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Choice Medical Services
- Organization subpart
- No
- Enumeration date
- Sep 27, 2009
- Last updated
- Sep 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | FL | Yes |
Practice location
95770 Amelia Concourse#352
Fernandina Beach, FL 32034-3775
Phone 877-259-2309 · Fax 904-647-8335
Mailing address
95770 Amelia Concourse#352
Fernandina Beach, FL 32034-3775
Phone 877-259-2309 · Fax 904-647-8335
Authorized official
Dominic Brown
President
8772592309
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