Provider Demographics
NPI:1487675542
Name:FIRST CHOICE TREATMENT AND REHAB CENTER, INC.
Entity Type:Organization
Organization Name:FIRST CHOICE TREATMENT AND REHAB CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PICCIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-934-3223
Mailing Address - Street 1:201 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-4301
Mailing Address - Country:US
Mailing Address - Phone:727-934-3223
Mailing Address - Fax:727-939-1994
Practice Address - Street 1:201 E CENTER ST
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-4301
Practice Address - Country:US
Practice Address - Phone:727-934-3223
Practice Address - Fax:727-939-1994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL06-00048468261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684582Medicare Oscar/Certification