Organization
AS FAST SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNIER COLON (PRESIDENT)
(786) 278-0812
Entity
Organization
Contact information
Practice address
15476 NW 77TH CT, 159, MIAMI LAKES, FL 33016-5823
(786) 278-0812
Mailing address
15476 NW 77TH CT, 159, MIAMI LAKES, FL 33016-5823
(786) 278-0812
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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