MEDICARE: FIRST CHOICE TRANSPORT SERVICE 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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1962906040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE TRANSPORT SERVICE INC

Provider Business Mailing Address
First Line	:	3459 WILSHIRE WAY RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-7353
Country	:	US
Telephone Number	:	407-350-0080
Fax Number	:

Provider Business Practice Location Address
First Line	:	3459 WILSHIRE WAY RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32829-7353
Country	:	US
Telephone Number	:	407-350-0080
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JUAN MIGUEL PONCE
Credential	:
Telephone Number	:	407-350-0080

Provider Enumeration Date	:	03/22/2018
Last Update Date	:	03/22/2018

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Directions to “FIRST CHOICE TRANSPORT SERVICE INC ” Practice Location

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