Active NPI
1St Choice Medical Services
- Preferred Provider Organization
- Fernandina Beach, FL
National Provider Identifier
1184958910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613959900 | Other | FL | DEPARTMENT OF LABOR |
National Provider Directory
National Provider DirectoryLocations
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.