Organization
FAMILY CHOICE MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINYERE CHRIS MBAERI M.D. (PRESIDENT)
(410) 852-5138
Entity
Organization
Contact information
Practice address
4698 FOREST HILL BLVD, SUITE B, WEST PALM BEACH, FL 33415-5719
(410) 852-5138
(561) 247-7792
Mailing address
14834 HORSESHOE TRCE, WELLINGTON, FL 33414-4032
(410) 852-5138
(561) 247-7792
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME101902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME101902
MEDICAL LICENSE NUMBER
FL
Enumeration date
01/19/2011
Last updated
02/22/2011
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