# 1ST CHOICE URGENT CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 1ST CHOICE URGENT CARE CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376296194
- **Legal business name:** 1ST CHOICE URGENT CARE CENTER LLC
- **Authorized official:** JOHN DISTEFANO (CONSULTANT)
- **Authorized official phone:** (352) 317-3214

## Contact information

- **Practice address:** 275 W MAIN ST, LAKE BUTLER, FL 32054-1656
- **Practice address phone:** (386) 496-2273
- **Mailing address:** 817 NW 56TH TER STE A, GAINESVILLE, FL 32605-6401
- **Mailing address phone:** (352) 336-0964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2022
- **Last updated:** 02/01/2022