Healthcare Provider Details

I. General information

NPI: 1093041311
Provider Name (Legal Business Name): MEDISTAFF SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2009
Last Update Date: 10/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12525 ORANGE DR SUITE 708
DAVIE FL
33330-4308
US

IV. Provider business mailing address

12525 ORANGE DR SUITE 708
DAVIE FL
33330-4308
US

V. Phone/Fax

Practice location:
  • Phone: 954-475-2613
  • Fax: 954-475-2614
Mailing address:
  • Phone: 954-475-2613
  • Fax: 954-475-2614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ARLENE SANCHEZ
Title or Position: PRESIDENT
Credential: RN
Phone: 954-475-2613