Healthcare Provider Details

I. General information

NPI: 1134836588
Provider Name (Legal Business Name): BERKSHIRE HEALTHCARE STAFFING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33108 SHADOW BRANCH LN
WESLEY CHAPEL FL
33545-5126
US

IV. Provider business mailing address

5804 BOYETTE RD UNIT 7215
WESLEY CHAPEL FL
33545-8009
US

V. Phone/Fax

Practice location:
  • Phone: 813-790-8815
  • Fax: 813-864-6786
Mailing address:
  • Phone: 813-790-8815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHELE SASSINE-PETION
Title or Position: MANAGING DIRECTOR
Credential: APRN
Phone: 813-790-8815