1st Choice Primary Care | |
275 W Main St Lake Butler FL 32054-1656 | |
(864) 962-2733 | |
Not Available |
Full Name | 1st Choice Primary Care |
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Speciality | Clinic/Center |
Location | 275 W Main St, Lake Butler, Florida |
Authorized Official Name and Position | John Distefano (CLINICAL CONSULTANT) |
Authorized Official Contact | 3523173214 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1st Choice Primary Care 817 Nw 56th Ter Ste A Gainesville FL 32605-6401 Ph: (352) 336-0964 | 1st Choice Primary Care 275 W Main St Lake Butler FL 32054-1656 Ph: (864) 962-2733 |
NPI Number | 1760152508 |
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Provider Enumeration Date | 09/14/2021 |
Last Update Date | 07/29/2022 |
Medicare PECOS PAC ID | 8224276571 |
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Medicare Enrollment ID | O20230321001507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760152508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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