Organization
1ST CHOICE URGENT CARE CENTER LLC
Active
Parent organization
1ST CHOICE URGENT CARE CENTER LLC
Other names
1st Choice Primary Care
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
128 NW 137TH DR, NEWBERRY, FL 32669-2667
(352) 332-1890
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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC9862
AHCA
FL
Enumeration date
07/18/2022
Last updated
07/18/2022
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