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Organization

1ST CHOICE HEALTH OF WPB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MINERVA VALIDO (PRESIDENT)
(561) 629-7809
Entity
Organization

Contact information

Practice address
4300 10TH AVE N, SUITE 2, LAKE WORTH, FL 33461-2322
(561) 629-7809
(561) 629-7851
Mailing address
4300 10TH AVE N, SUITE 2, LAKE WORTH, FL 33461-2322
(561) 629-7809
(561) 629-7851

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME30118
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
561
COMMERCIAL
FL
Enumeration date
05/05/2011
Last updated
05/05/2011
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