MEDICARE: 1ST CHOICE COMPREHENSIVE CARE 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	104100000X	Social Worker

General Provider Information

NPI Number	:	1710516885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST CHOICE COMPREHENSIVE CARE INC.

Provider Business Mailing Address
First Line	:	1830 W TRADE LN
Second Line	:
City	:	CITRUS SPRINGS
State	:	FL
Zip	:	34434-5525
Country	:	US
Telephone Number	:	352-740-6009
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 W TRADE LN
Second Line	:
City	:	CITRUS SPRINGS
State	:	FL
Zip	:	34434-5525
Country	:	US
Telephone Number	:	347-721-1527
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARA MATOS
Credential	:	LCSW
Telephone Number	:	352-740-6009

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	03/13/2026

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