MEDICARE: FIRST CHOICE WELLNESS CENTERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QI0500X	Infusion Therapy Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	001167755	OTHER	TN	TN SEC OF STATE

General Provider Information

NPI Number	:	1164015327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE WELLNESS CENTERS, LLC

Provider Business Mailing Address
First Line	:	855 SW 78TH AVE # C200
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3223
Country	:	US
Telephone Number	:	866-665-3244
Fax Number	:	844-324-3244

Provider Business Practice Location Address
First Line	:	214 BABER PARK WEST
Second Line	:	SUITE 130
City	:	GALLATIN
State	:	TN
Zip	:	37066-6330
Country	:	US
Telephone Number	:	615-623-4456
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. EDWARD KRAMM
Credential	:
Telephone Number	:	913-515-6719

Provider Enumeration Date	:	02/18/2021
Last Update Date	:	06/03/2026

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