MEDICARE: DOCTOR S FIRST CHOICE GLUCOSE MONITORING DEVICES 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1306468210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR S FIRST CHOICE GLUCOSE MONITORING DEVICES LLC

Provider Business Mailing Address
First Line	:	6645 CHANDRA WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-8709
Country	:	US
Telephone Number	:	651-601-1702
Fax Number	:	561-687-2676

Provider Business Practice Location Address
First Line	:	6645 CHANDRA WAY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-8709
Country	:	US
Telephone Number	:	651-601-1702
Fax Number	:	561-687-2676

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA GRACE PRECIPUO
Credential	:
Telephone Number	:	651-601-1702

Provider Enumeration Date	:	05/13/2020
Last Update Date	:	05/13/2020

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