As Fast Service Corp

NPI #1184863862 in Miami Lakes, Florida

Provider Information

NPI Number: 1184863862
Entity Type: Organization
Organization Name: As Fast Service Corp
Primary Specialty: Clinic/Center
Enumeration Date: Feb 19, 2009
Last Updated: Feb 19, 2009

Practice Location

Address: 15476 NW 77TH CT
Address 2: 159
City: Miami Lakes
State: Florida
ZIP Code: 33016-5823
Phone: (786) 278-0812

Authorized Official

Name: REYNIER COLON
Title: PRESIDENT
Phone: (786) 278-0812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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