Organization
1ST CHOICE URGENT CARE CENTER LLC
Active
Parent organization
1ST CHOICE URGENT CARE CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
1ST CHOICE URGENT CARE CENTER LLC
Authorized official
JOHN DISTEFANO (CONSULTANT)
(352) 317-3214
Entity
Organization
Contact information
Practice address
275 W MAIN ST, LAKE BUTLER, FL 32054-1656
(386) 496-2273
Mailing address
817 NW 56TH TER STE A, GAINESVILLE, FL 32605-6401
(352) 336-0964
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12609
CLINIC LICENSE
FL
Enumeration date
02/01/2022
Last updated
02/01/2022
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