Healthcare Provider Details

I. General information

NPI: 1790646487
Provider Name (Legal Business Name): EFAST MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 NW 25TH ST APT 515
MIAMI FL
33127-4351
US

IV. Provider business mailing address

240 NW 25TH ST APT 515
MIAMI FL
33127-4351
US

V. Phone/Fax

Practice location:
  • Phone: 832-946-3799
  • Fax:
Mailing address:
  • Phone: 832-946-3799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. RANA ATIF
Title or Position: PRESIDENT
Credential: ETC
Phone: 832-946-3799