Provider Demographics
NPI:1891319992
Name:FAMILY FIRST MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:FAMILY FIRST MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-736-9062
Mailing Address - Street 1:8177 GLADES RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4022
Mailing Address - Country:US
Mailing Address - Phone:561-931-2915
Mailing Address - Fax:
Practice Address - Street 1:8177 GLADES RD STE 105
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4022
Practice Address - Country:US
Practice Address - Phone:561-931-2915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies