Organization Active NPI

Fast360 LLC

  • Durable Medical Equipment & Medical Supplies
  • Clearwater, FL
National Provider Identifier
1093065633
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FAST360 LLC
Practice address
10200 49TH St N Ste 100
Clearwater, FL 33762
Phone
(866) 535-0905
Fax
(727) 535-0955
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy Liu
Title
Licensing and Compliance Specialist
Phone
(301) 547-3683

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Transportation Broker 347E00000X

Addresses

Primary practice location

10200 49TH St N Ste 100
Clearwater, FL 33762

Mailing address

10200 49TH St N Ste 100
Clearwater, FL 33762-5030
Phone (866) 535-0905

Other practice location 1

2340 Drew St
Suite 200
Clearwater, FL 33765-3310
Phone (727) 535-0905

Other practice location 2

2340 Drew St
Suite 200
Clearwater, FL 33765-3310
Phone (727) 535-0905

National Provider Directory

National Provider Directory

Locations

2340 Drew St
Ste 200
Clearwater, FL 33765
Phone (727) 535-0905

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1093065633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 49TH ST N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625030",
            "telephone_number": "866-535-0905",
            "fax_number": "727-535-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 49TH ST N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "telephone_number": "866-535-0905",
            "fax_number": "727-535-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 Drew St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337653310",
            "country_code": "US",
            "telephone_number": "727-535-0905",
            "fax_number": "727-535-0955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Drew St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337653310",
            "country_code": "US",
            "telephone_number": "727-535-0905",
            "fax_number": "727-535-0955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAST360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "LICENSING AND COMPLIANCE SPECIALIST",
        "authorized_official_telephone_number": "301-547-3683"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.