| Organization Name: | 1ST CHOICE HEALTH OF WPB |
| NPI Number: | 1093007353 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MINERVA VALIDO (PRESIDENT) |
| Mailing Address: | 4300 10th Ave N Suite 2 Lake Worth |
| State: | FL US |
| Postal Code: | 334612322 |
| Phone Number: | 5616297809 |
| Fax Number: | 5616297851 |
| NPI Enumeration Date: | 05/05/2011 |
| NPI Last Update Date: | 05/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME30118 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |