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General NPI Number Information
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NPI Number | 1215980685
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE URGENT CARE CLINIC, INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2040 COLLIER AVE SUITE A
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City | FORT MYERS
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State | FL
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Zip | 33901-8124
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Country | US
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Telephone | 239-277-9151
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Fax | 239-277-1552
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Provider Business Mailing Address
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Address Line | 2431 ALOMA AVE SUITE 111
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City | WINTER PARK
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State | FL
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Zip | 32792-2540
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Country | US
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Telephone | 407-677-1111
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Fax | 407-677-8883
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIE PIERRE
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Credential |
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Telephone | 239-277-9151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | HCC6666
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License Number State | FL
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