Organization Active NPI

1St Choice Medical Services

  • Preferred Provider Organization
  • Fernandina Beach, FL
National Provider Identifier
1184958910
Registry record updated Sep 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
1ST CHOICE MEDICAL SERVICES
Practice address
95770 Amelia Concourse
#352
Fernandina Beach, FL 32034-3775
Phone
(877) 259-2309
Fax
(904) 647-8335
NPI assigned
Sep 27, 2009
Last updated
Sep 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dominic Brown
Title
President
Phone
(877) 259-2309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X FL Primary

Addresses

Primary practice location

95770 Amelia Concourse
#352
Fernandina Beach, FL 32034-3775

Mailing address

95770 Amelia Concourse
#352
Fernandina Beach, FL 32034-3775
Phone (877) 259-2309

Other identifiers 1

IdentifierTypeStateIssuer
613959900OtherFLDEPARTMENT OF LABOR

National Provider Directory

National Provider Directory

Locations

95770 Amelia Concourse
#352
Fernandina Beach, FL 32034
Phone (877) 259-2309

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254009600000",
    "number": "1184958910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95770 AMELIA CONCOURSE",
            "address_2": "#352",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343775",
            "telephone_number": "877-259-2309",
            "fax_number": "904-647-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95770 AMELIA CONCOURSE",
            "address_2": "#352",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343775",
            "telephone_number": "877-259-2309",
            "fax_number": "904-647-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-27",
        "last_updated": "2009-09-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-259-2309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "613959900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.