1ST CHOICE MEDICAL DETOX – NPI #1619275856
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

1ST CHOICE MEDICAL DETOX is a provider located in TARPON SPRINGS, FL. NPPES has assigned the NPI number 1619275856 to 1ST CHOICE MEDICAL DETOX on March 12, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1ST CHOICE MEDICAL DETOX below.

NPI Profile for
1ST CHOICE MEDICAL DETOX

NPI Number
1619275856
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1ST CHOICE MEDICAL DETOX
Primary location
703 S PINELLAS AVE
TARPON SPRINGS, FL 34689-3709
Phone: (727) 940-3478 Fax: (727) 940-3480
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARINA KULICK
PRESIDENT
Phone: (727) 940-3478
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
FL ME 103499

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.