Provider Demographics
NPI:1093991192
Name:SOUTH DADE MEDICAL STAFFING SERVICES
Entity Type:Organization
Organization Name:SOUTH DADE MEDICAL STAFFING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HSA
Authorized Official - Prefix:
Authorized Official - First Name:SAINT
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:PAYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-378-5390
Mailing Address - Street 1:10700 CARIBBEAN BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1232
Mailing Address - Country:US
Mailing Address - Phone:305-378-5390
Mailing Address - Fax:305-378-5392
Practice Address - Street 1:10700 CARIBBEAN BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1232
Practice Address - Country:US
Practice Address - Phone:305-378-5390
Practice Address - Fax:305-378-5392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL564251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care