Organization
FAST360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY LIU (LICENSING AND COMPLIANCE SPECIALIST)
(301) 547-3683
Entity
Organization
Contact information
Practice address
10200 49TH ST N STE 100, CLEARWATER, FL 33762
(866) 535-0905
(727) 535-0955
Mailing address
10200 49TH ST N STE 100, CLEARWATER, FL 33762-5030
(866) 535-0905
(727) 535-0955
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
09/11/2012
Last updated
05/14/2018
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