Provider Demographics
NPI:1982206124
Name:AMERICA CHOICE CDC
Entity Type:Organization
Organization Name:AMERICA CHOICE CDC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-817-9391
Mailing Address - Street 1:PO BOX 75363
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33675-0363
Mailing Address - Country:US
Mailing Address - Phone:813-817-9391
Mailing Address - Fax:314-725-3210
Practice Address - Street 1:3007 N 17TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33605-1825
Practice Address - Country:US
Practice Address - Phone:813-817-9391
Practice Address - Fax:314-725-3210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care