# 1ST CHOICE PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528806494
- **Authorized official:** JOHN DISTEFANO (OWNER)
- **Authorized official phone:** (352) 317-3214

## Contact information

- **Practice address:** 128 NW 137TH DR, NEWBERRY, FL 32669-2667
- **Practice address phone:** (352) 332-1890
- **Mailing address:** 10348 SW 32ND AVE, GAINESVILLE, FL 32608-9096
- **Mailing address phone:** (352) 317-3214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2024
- **Last updated:** 01/15/2025