Provider Demographics
NPI:1851279665
Name:FIRST MEDICAL LLC
Entity type:Organization
Organization Name:FIRST MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOUSHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAZDANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-221-5321
Mailing Address - Street 1:2595 TAMPA RD STE J
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3131
Mailing Address - Country:US
Mailing Address - Phone:727-221-5321
Mailing Address - Fax:
Practice Address - Street 1:2595 TAMPA RD STE J
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3131
Practice Address - Country:US
Practice Address - Phone:727-221-5321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty