Provider Demographics
NPI:1457639981
Name:L. G. STAFFING
Entity Type:Organization
Organization Name:L. G. STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LISBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:754-204-4484
Mailing Address - Street 1:8346 NW S RIVER DR
Mailing Address - Street 2:BAY M
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7446
Mailing Address - Country:US
Mailing Address - Phone:754-204-4484
Mailing Address - Fax:305-359-9839
Practice Address - Street 1:8346 NW S RIVER DR
Practice Address - Street 2:BAY M
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-7446
Practice Address - Country:US
Practice Address - Phone:754-204-4484
Practice Address - Fax:305-359-9839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20503261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy