Fitst Choie Primary Care,LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FITST CHOIE PRIMARY CARE,LLC

Practice address

1154 Lee Blvd
Suite 4
Lehigh Acres, FL 33936-4852

Phone

(239) 369-6211

Fax

(239) 369-1209

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Wlillie Pierre

Title

Ceo

Phone

(239) 745-1228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1710199039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 ALOMA AVE STE 111",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922522",
            "telephone_number": "407-737-8780",
            "fax_number": "407-737-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD",
            "address_2": "SUITE 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "239-369-6211",
            "fax_number": "239-369-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITST CHOIE PRIMARY CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "WLILLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-745-1228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.