FIRST CHOICE FAMILY PRACTICE PA NPI 1568514503

NPI Information

  • NPI: 1568514503
  • Provider Name: FIRST CHOICE FAMILY PRACTICE PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Organization
  • :
  • Address: 550 WELLS RD
    SUITE 17
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 269-2900

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NPI Details

FIRST CHOICE FAMILY PRACTICE PA is a physician assistant in Orange Park, FL. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. FIRST CHOICE FAMILY PRACTICE PA NPI is 1568514503. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

550 WELLS RD
SUITE 17
ORANGE PARK, FL
ZIP 32073-969
Phone: (904) 269-2900
Fax: (904) 269-1140

The provider's authorized official is James Cannon .
The authorized official title is Administrator and has the following contact phone number (904) 269-2900.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME0052191FLORIDANo
2207Q00000XFamily MedicineOS7923FLORIDANo
3363A00000XPhysician AssistantPA2719FLORIDANo
4363A00000XPhysician AssistantPA9101422FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105937OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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