Organization
FIRST-STAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLAYTON MCPETERS (MANAGER)
(239) 215-9000
Entity
Organization
Contact information
Practice address
2178 ANDREA LN, FORT MYERS, FL 33912-1986
(239) 215-9000
(239) 215-9900
Mailing address
2178 ANDREA LN, FORT MYERS, FL 33912-1986
(239) 215-9000
(239) 215-9900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
12345
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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