Provider Demographics
NPI:1174407977
Name:CHOYCE MEDICAL & WOUND CARE CENTER LLC
Entity type:Organization
Organization Name:CHOYCE MEDICAL & WOUND CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONESY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-935-1065
Mailing Address - Street 1:18017 W MAUI LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-7546
Mailing Address - Country:US
Mailing Address - Phone:480-390-8894
Mailing Address - Fax:
Practice Address - Street 1:7530 E NONCHALANT AVE
Practice Address - Street 2:
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377-4506
Practice Address - Country:US
Practice Address - Phone:480-390-8894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty