| Personal Choice Family Practice Inc. | |
|
425 Greenwich Cir #108 Jupiter FL 33458-4807 | |
| (561) 779-1520 | |
| (561) 691-9624 |
| Full Name | Personal Choice Family Practice Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 425 Greenwich Cir, Jupiter, Florida |
| Authorized Official Name and Position | Lorne Shane Stitsky (OWNER PRESIDENT) |
| Authorized Official Contact | 5617791520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Choice Family Practice Inc. 425 Greenwich Cir #108 Jupiter FL 33458-4807 Ph: (561) 779-1520 | Personal Choice Family Practice Inc. 425 Greenwich Cir #108 Jupiter FL 33458-4807 Ph: (561) 779-1520 |
| NPI Number | 1689726259 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 04/26/2013 |
| Medicare PECOS PAC ID | 7113164609 |
|---|---|
| Medicare Enrollment ID | O20130430000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689726259 | NPI | - | NPPES |
| 49233 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0007755 (Florida) | Primary |
| Provider Name | Lorne S Stitsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700866209 PECOS PAC ID: 5395630164 Enrollment ID: I20040220000912 |
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