Provider Demographics
NPI:1437397759
Name:PRIMARY MEDICAL STAFFING, INC.
Entity Type:Organization
Organization Name:PRIMARY MEDICAL STAFFING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PRINSTON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-GLAUDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-727-1819
Mailing Address - Street 1:3600 RED RD STE 303
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-6014
Mailing Address - Country:US
Mailing Address - Phone:954-727-1819
Mailing Address - Fax:954-580-3189
Practice Address - Street 1:3600 RED RD
Practice Address - Street 2:SUITE 303
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025
Practice Address - Country:US
Practice Address - Phone:954-727-1819
Practice Address - Fax:954-727-3830
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRIMARY MEDICAL STAFFING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-23
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992253251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001030300Medicaid
FL299992253OtherHOME HEALTH
109414Medicare PIN