Provider Demographics
NPI:1922664234
Name:FIRST STEP MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:FIRST STEP MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VITERI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:954-589-7599
Mailing Address - Street 1:111 GOLDEN ISLES DR APT F1
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5822
Mailing Address - Country:US
Mailing Address - Phone:954-589-7599
Mailing Address - Fax:866-317-6999
Practice Address - Street 1:111 GOLDEN ISLES DR APT F1
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5822
Practice Address - Country:US
Practice Address - Phone:954-589-7599
Practice Address - Fax:866-317-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies