Organization
FIRST CHOISE GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W FORMISANO (PRESIDENT)
(305) 862-3972
Entity
Organization
Contact information
Practice address
6355 SW 8TH ST STE 100, WEST MIAMI, FL 33144-4860
(305) 862-3972
Mailing address
6355 SW 8TH ST STE 100, WEST MIAMI, FL 33144-4860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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