Organization
SUPERIOR CHOICE PHYSICIANS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEJESUS (CEO)
(817) 751-1811
Entity
Organization
Contact information
Practice address
2519 N MCMULLEN BOOTH RD STE 510-203, CLEARWATER, FL 33761-4173
(407) 923-4205
Mailing address
2519 N MCMULLEN BOOTH RD STE 510-203, CLEARWATER, FL 33761-4173
(407) 923-4205
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
2251G0304X
Geriatric Physical Therapist
—
—
Other
Enumeration date
08/26/2020
Last updated
04/19/2022
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