Organization
CHOICES HEALTH CENTER, INC.
Active
Other names
Choices Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE E WILSON (COO)
(386) 456-1047
Entity
Organization
Contact information
Practice address
747 FAWN RIDGE DR, SUITE 100, ORANGE CITY, FL 32763-8268
(386) 456-1047
(866) 707-3476
Mailing address
747 FAWN RIDGE DR, SUITE 100, ORANGE CITY, FL 32763-8268
(386) 456-1047
(866) 707-3476
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004619500
—
FL
Enumeration date
07/24/2009
Last updated
07/31/2013
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