Organization
LADIES FIRST CHOICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A PAVLO (OWNER)
(727) 535-4446
Entity
Organization
Contact information
Practice address
2337 BELLEAIR RD, SUITE E, CLEARWATER, FL 33764-1729
(727) 535-4446
(727) 796-3095
Mailing address
1930 TEMPLE TERRACE, CLEARWATER, FL 33764-6649
(727) 791-8801
(727) 530-4003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09134
WELLCARE HMO
FL
01
—
M0757
BCBS FL
FL
Enumeration date
07/25/2006
Last updated
06/03/2015
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