Look up the most recent NPI and PECOS records

First Clinical Choice Corp

Clinic/Center

Ambulatory Health Care Facilities

900 W 49th St Ste 505, Hialeah, FL 33012-3488

PECOS Enrollment

Based on the most recent information from CMS, provider First Clinical Choice Corp does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1518200419
Provider Type
Organization
Full Name
First Clinical Choice Corp

Subpart
No
Enumeration Date
3/29/2013
Last Updated
3/29/2013

Contact Information

Practice Location

900 W 49th St Ste 505, Hialeah, FL 33012-3488

(305) 200-1270

(305) 200-1271

Mailing Location

900 W 49th St Ste 505, Hialeah, FL 33012-3488

(305) 200-1270

(305) 200-1271

Authorized Official

Martinez, Humberto (President)

(305) 200-1270

Provider Taxonomies

Code	Description	License
Code 261QH0100X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License HCC10486 Florida

First Clinical Choice Corp

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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