1ST CHOICE MEDICAL DETOX NPI 1619275856

NPI Information

NPI: 1619275856
Provider Name: 1ST CHOICE MEDICAL DETOX
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
703 S PINELLAS AVE
TARPON SPRINGS, FL
ZIP 34689
Phone: (727) 940-3478
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1ST CHOICE MEDICAL DETOX is an addiction medicine family medicine in Tarpon Springs, FL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. 1ST CHOICE MEDICAL DETOX NPI is 1619275856. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

703 S PINELLAS AVE
TARPON SPRINGS, FL
ZIP 34689-709
Phone: (727) 940-3478
Fax: (727) 940-3480

The provider's authorized official is Marina V Kulick .
The authorized official title is President and has the following contact phone number (727) 940-3478.

The enumeration date for this NPI number is 3/12/2011 and was last updated on 3/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	ME 103499	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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