# FIRST CHOICE FAMILY PRACTICE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** First Choice Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568514503
- **Authorized official:** JAMES CANNON (ADMINISTRATOR)
- **Authorized official phone:** (904) 269-2900

## Contact information

- **Practice address:** 550 WELLS RD, SUITE 17, ORANGE PARK, FL 32073-2969
- **Practice address phone:** (904) 269-2900
- **Practice address fax:** (904) 269-1140
- **Mailing address:** 550 WELLS RD, SUITE 17, ORANGE PARK, FL 32073-2969
- **Mailing address phone:** (904) 269-2900
- **Mailing address fax:** (904) 269-1140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME0052191 | FL | — |
| 207Q00000X | Family Medicine Physician | OS7923 | FL | — |
| 363A00000X | Physician Assistant | PA2719 | FL | — |
| 363A00000X | Physician Assistant | PA9101422 | FL | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05937 | BCBS | FL |