MEDICARE: FAST TEAM SERVICES CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1902982564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAST TEAM SERVICES CORP

Provider Business Mailing Address
First Line	:	3418 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-4108
Country	:	US
Telephone Number	:	305-498-9922
Fax Number	:

Provider Business Practice Location Address
First Line	:	3418 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-4108
Country	:	US
Telephone Number	:	305-498-9922
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAUDEL ESTEVEZ
Credential	:
Telephone Number	:	305-448-9922

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	08/22/2020

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Directions to “FAST TEAM SERVICES CORP ” Practice Location

Language	Start Address	Practice Location

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