# FIRST-STAT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588011613
- **Authorized official:** BRIAN CLAYTON MCPETERS (MANAGER)
- **Authorized official phone:** (239) 215-9000

## Contact information

- **Practice address:** 2178 ANDREA LN, FORT MYERS, FL 33912-1986
- **Practice address phone:** (239) 215-9000
- **Practice address fax:** (239) 215-9900
- **Mailing address:** 2178 ANDREA LN, FORT MYERS, FL 33912-1986
- **Mailing address phone:** (239) 215-9000
- **Mailing address fax:** (239) 215-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 12345 | FL | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2016
- **Last updated:** 05/18/2016