Provider Demographics
NPI:1629690540
Name:FAST RELIEF MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:FAST RELIEF MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMMANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-300-0141
Mailing Address - Street 1:351 S CYPRESS RD STE 313
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-7167
Mailing Address - Country:US
Mailing Address - Phone:800-300-0141
Mailing Address - Fax:
Practice Address - Street 1:351 S CYPRESS RD STE 313
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-7167
Practice Address - Country:US
Practice Address - Phone:800-300-0141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies