Healthcare Provider Details

I. General information

NPI: 1043838337
Provider Name (Legal Business Name): SMART CHOICE CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1686 N OLIVIA DR
AVON PARK FL
33825-7301
US

IV. Provider business mailing address

1686 N OLIVIA DR
AVON PARK FL
33825-7301
US

V. Phone/Fax

Practice location:
  • Phone: 305-230-4143
  • Fax:
Mailing address:
  • Phone: 305-230-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERADIO SOSA
Title or Position: PRESIDENT
Credential:
Phone: 305-230-4143