Organization
FIRST CHOICE PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSIA PORTUGAL M.D.,FAAP (PRESIDENT)
(407) 249-1234
Entity
Organization
Contact information
Practice address
1651 N SEMORAN BLVD, ORLANDO, FL 32807-3575
(407) 249-1234
(407) 249-1755
Mailing address
1651 N SEMORAN BLVD, ORLANDO, FL 32807-3575
(407) 249-1234
(407) 249-1755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262479600
—
FL
Enumeration date
12/06/2006
Last updated
07/30/2019
Update your record
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