Provider Demographics
NPI:1629504097
Name:FIRST STEP MEDICAL,LLC
Entity Type:Organization
Organization Name:FIRST STEP MEDICAL,LLC
Other - Org Name:FUTURE NOW DETOX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSIN
Authorized Official - Suffix:
Authorized Official - Credentials:CAC
Authorized Official - Phone:786-942-0502
Mailing Address - Street 1:4384 PURDY LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7562
Mailing Address - Country:US
Mailing Address - Phone:561-720-2146
Mailing Address - Fax:
Practice Address - Street 1:4384 PURDY LN
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-7562
Practice Address - Country:US
Practice Address - Phone:561-720-2146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5001324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility