Healthcare Provider Details

I. General information

NPI: 1740223023
Provider Name (Legal Business Name): FIRST CHOICE PHCY SVCS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CUMBERLAND DR #305
ST AUGUSTINE FL
32095
US

IV. Provider business mailing address

110 CUMBERLAND DR #305
ST AUGUSTINE FL
32095
US

V. Phone/Fax

Practice location:
  • Phone: 904-494-0273
  • Fax: 904-494-0275
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH21606
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID ROMBRO
Title or Position: PRESIDENT
Credential:
Phone: 954-944-4104