Provider Demographics
NPI:1568796985
Name:SUPERIOR STAFFING
Entity Type:Organization
Organization Name:SUPERIOR STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING MANAFER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:G
Authorized Official - Last Name:TAMARIT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-564-9289
Mailing Address - Street 1:16940 US HIGHWAY 19 N LOT 306
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-6742
Mailing Address - Country:US
Mailing Address - Phone:727-564-9289
Mailing Address - Fax:
Practice Address - Street 1:6190 80TH ST N APT 104
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-1069
Practice Address - Country:US
Practice Address - Phone:727-599-0332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN 5173801164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty