Organization
1ST CHOICE MEDICAL DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA V KULICK MD (PRESIDENT)
(727) 940-3478
Entity
Organization
Contact information
Practice address
703 S PINELLAS AVE, TARPON SPRINGS, FL 34689-3709
(727) 940-3478
(727) 940-3480
Mailing address
703 S PINELLAS AVE, TARPON SPRINGS, FL 34689-3709
(727) 940-3478
(727) 940-3480
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME 103499
FL
Other
Enumeration date
03/12/2011
Last updated
03/12/2011
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