Healthcare Provider Details

I. General information

NPI: 1003042136
Provider Name (Legal Business Name): FAST SOLUTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 06/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5119 HIGHLAND RD SUITE 398
WATERFORD MI
48327
US

IV. Provider business mailing address

5119 HIGHLAND RD SUITE 398
WATERFORD MI
48327
US

V. Phone/Fax

Practice location:
  • Phone: 352-216-4859
  • Fax:
Mailing address:
  • Phone: 352-216-4859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: RAMON A TOPES
Title or Position: PRESIDENT
Credential:
Phone: 352-216-4859