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FIRST CHOICE MEDICAL GROUP OF BREVARD LLC NPI 1578846564


NPI Information

NPI: 1578846564
Provider Name: FIRST CHOICE MEDICAL GROUP OF BREVARD LLC

Doing Business As: FIRST CHOICE MEDICAL GROUP

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 10D2042202

Address:
650 S COURTENAY PKWY STE 100
MERRITT ISLAND, FL
ZIP 32952
Phone: (321) 725-2225
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FIRST CHOICE MEDICAL GROUP OF BREVARD LLC is an orthopaedic surgery in Merritt Island, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. FIRST CHOICE MEDICAL GROUP OF BREVARD LLC NPI is 1578846564. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As First Choice Medical Group.

The provider's business location address is:

650 S COURTENAY PKWY STE 100
MERRITT ISLAND, FL
ZIP 32952-977
Phone: (321) 725-2225
Fax: (321) 308-0635

The provider's authorized official is Phillip Keller .
The authorized official title is Cfo and has the following contact phone number (321) 725-0090.

The CLIA number assigned to this NPI record is 10D2042202 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2011 and was last updated on 12/1/2020.


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
1207T00000XNeurological SurgeryNo
2207X00000XOrthopaedic SurgeryYes

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
1002JPOTHERFLORIDAFLORIDA BLUE

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: 5/5/2024

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