| First Choice Endocrinology Llc | |
|
8837 Goodbys Executive Dr Jacksonville FL 32217-4605 | |
| (904) 990-0555 | |
| (904) 990-0551 |
| Full Name | First Choice Endocrinology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8837 Goodbys Executive Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Wasim Deeb (OWNER) |
| Authorized Official Contact | 9049900555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Endocrinology Llc 8837 Goodbys Executive Dr Jacksonville FL 32217-4605 Ph: (904) 990-0555 | First Choice Endocrinology Llc 8837 Goodbys Executive Dr Jacksonville FL 32217-4605 Ph: (904) 990-0555 |
| NPI Number | 1972067528 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 09/13/2019 |
| Medicare PECOS PAC ID | 2668712076 |
|---|---|
| Medicare Enrollment ID | O20190321002402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972067528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Wasim E Deeb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881700698 PECOS PAC ID: 8123095908 Enrollment ID: I20080924000695 |
| Provider Name | Chelsea M Brouillet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023736196 PECOS PAC ID: 3678948171 Enrollment ID: I20230414002345 |
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