Provider Demographics
NPI:1376675421
Name:FCM SERVICES, CORP.
Entity Type:Organization
Organization Name:FCM SERVICES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-362-7882
Mailing Address - Street 1:900 W 49TH ST
Mailing Address - Street 2:548
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3402
Mailing Address - Country:US
Mailing Address - Phone:305-362-7882
Mailing Address - Fax:
Practice Address - Street 1:900 W 49TH ST
Practice Address - Street 2:548
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3402
Practice Address - Country:US
Practice Address - Phone:305-362-7882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5956030001Medicare NSC