# FIVESTAR MEDICAL SUPPLIES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1841846623
- **Authorized official:** CLAUDETTE CLERVIL CHERISTIN (CEO)
- **Authorized official phone:** (352) 901-7427

## Contact information

- **Practice address:** 2468 US HIGHWAY 441/27 STE 201, FRUITLAND PARK, FL 34731-2149
- **Practice address phone:** (352) 901-7427
- **Mailing address:** 2468 US HIGHWAY 441/27 STE 201, FRUITLAND PARK, FL 34731-2149
- **Mailing address phone:** (352) 901-7427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2019
- **Last updated:** 08/16/2019