1st Choice Health Of Wpb

NPI 1093007353 - General Practice - 208D00000X

NPI Details
NPI 1093007353
Enumeration Date 05/05/2011
Last Updated 05/05/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MINERVA MINERVA
Position PRESIDENT
Phone (561) 629-7809
Fax (561) 629-7851
Practice Location
4300 10TH AVE N
SUITE 2
LAKE WORTH FL, 33461-2322, US
Phone (561) 629-7809
Fax (561) 629-7851
Business Location
4300 10TH AVE N
SUITE 2
LAKE WORTH FL, 33461-2322, US
Phone (561) 629-7809
Fax (561) 629-7851
Toxanomy
Taxonomy Code 208D00000X
License State Florida
License Number ME30118
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According to our database, 1st Choice Health Of Wpb NPI is 1093007353, taxonomy code is 208D00000X and license number is ME30118, license state is located at Florida. 1st Choice Health Of Wpb physically located at 4300 10th Ave N, Lake Worth FL, 33461-2322. NPI Number 1033115704 has the healthcare provider type.

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1093007353 NPI number is provided on an as is basis without warranty of any kind. 1093007353 is maintained by the National Plan & Provider Enumeration System. The contents of 1st Choice Health Of Wpb are for informational purposes only.