Organization
1ST CHOICE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DISTEFANO (OWNER)
(352) 317-3214
Entity
Organization
Contact information
Practice address
128 NW 137TH DR, NEWBERRY, FL 32669-2667
(352) 332-1890
Mailing address
10348 SW 32ND AVE, GAINESVILLE, FL 32608-9096
(352) 317-3214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
01/15/2025
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