MEDICARE: FAST ACCESS MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251B00000X	Case Management Agency
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	251E00000X	Home Health Agency
5	251S00000X	Community/Behavioral Health Agency
6	253Z00000X	In Home Supportive Care Agency
7	261QD1600X	Developmental Disabilities Clinic/Center
8	261QH0100X	Health Service Clinic/Center
9	261QM0850X	Adult Mental Health Clinic/Center
10	261QM0855X	Adolescent and Children Mental Health Clinic/Center
11	261QM1000X	Migrant Health Clinic/Center
12	261QM1300X	Multi-Specialty Clinic/Center
13	261QR0400X	Rehabilitation Clinic/Center
14	310400000X	Assisted Living Facility
15	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1528671963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAST ACCESS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	37 NW 47TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-2411
Country	:	US
Telephone Number	:	786-622-9604
Fax Number	:

Provider Business Practice Location Address
First Line	:	271 NW 54TH ST APT 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-1748
Country	:	US
Telephone Number	:	305-709-2060
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RONALD ST PAUL
Credential	:
Telephone Number	:	305-709-2060

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	08/25/2020

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Directions to “FAST ACCESS MEDICAL CENTER ” Practice Location

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