Healthcare Provider Details

I. General information

NPI: 1114831740
Provider Name (Legal Business Name): FIRSTWAY HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 NE 7TH ST
HALLANDALE BEACH FL
33009-2875
US

IV. Provider business mailing address

2302 NE 7TH ST
HALLANDALE BEACH FL
33009-2875
US

V. Phone/Fax

Practice location:
  • Phone: 305-409-7274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: SLAVIK SHUSTERMAN
Title or Position: MANAGING MEMBER
Credential: APRN
Phone: 305-409-7274