Organization
FIRST CHOICE FAMILY PRACTICE PA
Active
Other names
First Choice Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CANNON (ADMINISTRATOR)
(904) 269-2900
Entity
Organization
Contact information
Practice address
550 WELLS RD, SUITE 17, ORANGE PARK, FL 32073-2969
(904) 269-2900
(904) 269-1140
Mailing address
550 WELLS RD, SUITE 17, ORANGE PARK, FL 32073-2969
(904) 269-2900
(904) 269-1140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME0052191
FL
207Q00000X
Family Medicine Physician
OS7923
FL
363A00000X
Physician Assistant
PA2719
FL
363A00000X
Physician Assistant
Primary
PA9101422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05937
BCBS
FL
Enumeration date
01/18/2007
Last updated
09/11/2025
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