Organization
1ST CHOICE URGENT CARE CENTER 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 DRIVE, NEWBERRY, FL 32669
(352) 332-1890
(352) 224-6465
Mailing address
10348 SW 32ND AVE, GAINESVILLE, FL 32608-9096
(352) 317-3214
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HE751A
MEDICARE
—
Enumeration date
04/10/2013
Last updated
07/29/2024
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