Provider Demographics
NPI:1225624885
Name:MEDISTAFF SOLUTIONS
Entity Type:Organization
Organization Name:MEDISTAFF SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HERPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-619-5071
Mailing Address - Street 1:154 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2143
Mailing Address - Country:US
Mailing Address - Phone:407-619-5071
Mailing Address - Fax:
Practice Address - Street 1:154 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2143
Practice Address - Country:US
Practice Address - Phone:407-619-5071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDISTAFF SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-17
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2231OtherSERVICE POOL