1St Choice Health of WPB

Organization Active NPI General Practice Physician · Lake Worth, FL

NPI 1093007353 · NPPES record last updated May 5, 2011

Key facts

NPI
1093007353
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
ME30118 (FL)
Legal business name
1ST CHOICE HEALTH OF WPB
Practice address
4300 10TH Ave N
Suite 2
Lake Worth, FL 33461-2322
Phone
(561) 629-7809
Fax
(561) 629-7851
NPI assigned
May 5, 2011
Organization subpart
No

Authorized official

Name
Minerva Valido
Title
President
Phone
(561) 629-7809

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X ME30118 FL Yes

Addresses

Primary practice location

4300 10TH Ave N
Suite 2
Lake Worth, FL 33461-2322

Mailing address

4300 10TH Ave N
Suite 2
Lake Worth, FL 33461-2322
Phone (561) 629-7809

Other identifiers

IdentifierTypeStateIssuer
561OtherFLCOMMERCIAL

Other providers in Lake Worth, FL

All providers in Lake Worth, FL · General Practice Physician in Florida

Sources for this page

Verify at the official NPI Registry.