MEDICARE: A-FIRST CHOICE HEALTH CARE SYSTEMS, INC.

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	207Q00000X	Family Medicine Physician	MM13440	FL

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

General Provider Information

NPI Number	:	1689623126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-FIRST CHOICE HEALTH CARE SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	4691 S UNIVERSITY DRIVE
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-3817
Country	:	US
Telephone Number	:	954-434-7246
Fax Number	:	954-434-8104

Provider Business Practice Location Address
First Line	:	4691 S UNIVERSITY DR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-3817
Country	:	US
Telephone Number	:	954-434-7246
Fax Number	:	954-434-8104

Authorized Official
Title or Position	:	PRESIDENT/CHIROPRACTOR
Name	:	DR. ELIAS GOLDSTEIN
Credential	:	D.C.
Telephone Number	:	954-434-7246

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/20/2010

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