Provider Demographics
NPI:1265849582
Name:CORECHOICE, INC.
Entity type:Organization
Organization Name:CORECHOICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:GASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-589-2673
Mailing Address - Street 1:5550 GLADES RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7205
Mailing Address - Country:US
Mailing Address - Phone:800-980-3289
Mailing Address - Fax:866-383-4393
Practice Address - Street 1:5550 GLADES RD
Practice Address - Street 2:SUITE 500
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7205
Practice Address - Country:US
Practice Address - Phone:800-980-3289
Practice Address - Fax:866-383-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization