Provider Demographics
NPI:1528278090
Name:FASTER TREATMENT CENTER INC
Entity type:Organization
Organization Name:FASTER TREATMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSMANI
Authorized Official - Middle Name:
Authorized Official - Last Name:DORTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-445-8282
Mailing Address - Street 1:951 SW LE JEUNE RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2616
Mailing Address - Country:US
Mailing Address - Phone:305-445-8282
Mailing Address - Fax:305-445-8286
Practice Address - Street 1:951 SW LE JEUNE RD
Practice Address - Street 2:SUITE 304
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33134-2616
Practice Address - Country:US
Practice Address - Phone:305-445-8282
Practice Address - Fax:305-445-8286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7195208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC7195OtherHEALTH CARE CLINIC LICENS