MEDICARE: EFAST MEDICAL SUPPLIES LLC

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1790646487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFAST MEDICAL SUPPLIES LLC

Provider Business Mailing Address
First Line	:	2532 ELLA ST
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-2110
Country	:	US
Telephone Number	:	832-946-3799
Fax Number	:

Provider Business Practice Location Address
First Line	:	7511 PLAINS LODGE LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-3919
Country	:	US
Telephone Number	:	832-946-3799
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RANA ATIF
Credential	:	ETC
Telephone Number	:	832-946-3799

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	01/12/2026

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