Provider Demographics
NPI:1376087262
Name:FIRST CAPITAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:FIRST CAPITAL SOLUTIONS, LLC
Other - Org Name:FREEDOM MED ALERT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:GUSTAFSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:305-965-4739
Mailing Address - Street 1:6619 S DIXIE HWY # 364
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7919
Mailing Address - Country:US
Mailing Address - Phone:877-297-0485
Mailing Address - Fax:
Practice Address - Street 1:6081 W SUBURBAN DR
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-1920
Practice Address - Country:US
Practice Address - Phone:877-297-0485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies