Provider Demographics
NPI:1629646443
Name:RIGHT CHOICE OF FL
Entity Type:Organization
Organization Name:RIGHT CHOICE OF FL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:SHARETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:904-343-7626
Mailing Address - Street 1:1248 EDGEWOOD AVE W STE 2A
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-2768
Mailing Address - Country:US
Mailing Address - Phone:904-343-7626
Mailing Address - Fax:
Practice Address - Street 1:1248 EDGEWOOD AVE W STE 2A
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-2768
Practice Address - Country:US
Practice Address - Phone:904-343-7626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker