Provider Demographics
NPI:1538709993
Name:FIRST CLASS MEDICINE LLC
Entity type:Organization
Organization Name:FIRST CLASS MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMPRASAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GOPALAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-767-6897
Mailing Address - Street 1:4699 FOX VIEW PL
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-3540
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4699 FOX VIEW PL
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-3540
Practice Address - Country:US
Practice Address - Phone:561-767-6897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty