Provider Demographics
NPI:1851706527
Name:PHYSICIANS FIRST CHOICE LLC
Entity Type:Organization
Organization Name:PHYSICIANS FIRST CHOICE LLC
Other - Org Name:PHYSICIANS FIRST CHOICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DASIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-223-3300
Mailing Address - Street 1:208 W DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3602
Mailing Address - Country:US
Mailing Address - Phone:813-223-3300
Mailing Address - Fax:813-223-3304
Practice Address - Street 1:208 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3602
Practice Address - Country:US
Practice Address - Phone:813-223-3300
Practice Address - Fax:813-223-3304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-21
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty