Provider Demographics
NPI:1568587376
Name:ARBOR TEMPORARY SERVICES INC
Entity Type:Organization
Organization Name:ARBOR TEMPORARY SERVICES INC
Other - Org Name:ARBOR MEDICAL STAFFING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:386-445-7701
Mailing Address - Street 1:PO BOX 354526
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32135-4526
Mailing Address - Country:US
Mailing Address - Phone:386-445-7701
Mailing Address - Fax:386-446-1542
Practice Address - Street 1:25 PINE CONE DR STE 4
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8424
Practice Address - Country:US
Practice Address - Phone:386-445-7701
Practice Address - Fax:386-446-1542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16OtherHEALTH CARE PROVIDER POOL