Provider Demographics
NPI:1811440191
Name:FUSTER MED SUPPLIES INC
Entity type:Organization
Organization Name:FUSTER MED SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PASTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:FUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-286-6909
Mailing Address - Street 1:5545 SW 8TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2287
Mailing Address - Country:US
Mailing Address - Phone:786-558-8857
Mailing Address - Fax:786-475-3545
Practice Address - Street 1:5545 SW 8TH ST STE 209
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2287
Practice Address - Country:US
Practice Address - Phone:786-558-8857
Practice Address - Fax:786-475-3545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-03
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies