| 1st Choice Primary Care | |
|
275 W Main St Lake Butler FL 32054-1656 | |
| (864) 962-2733 | |
| Not Available |
| Full Name | 1st Choice Primary Care |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 07/29/2022 |
| Medicare PECOS PAC ID | 8224276571 |
|---|---|
| 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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