Provider Demographics
NPI:1831173368
Name:FIRST CHOICE INFUSION LLC
Entity type:Organization
Organization Name:FIRST CHOICE INFUSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GINSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-736-5134
Mailing Address - Street 1:3800 S CONGRESS AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426
Mailing Address - Country:US
Mailing Address - Phone:561-736-5134
Mailing Address - Fax:561-736-5176
Practice Address - Street 1:3800 S CONGRESS AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426
Practice Address - Country:US
Practice Address - Phone:561-736-5134
Practice Address - Fax:561-736-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH19557333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4941860001Medicare ID - Type Unspecified