Provider Demographics
NPI:1801041397
Name:AJC MEDICAL STAFFING LLC
Entity Type:Organization
Organization Name:AJC MEDICAL STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHN-CARBON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-690-4220
Mailing Address - Street 1:111 NW 183 ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4540
Mailing Address - Country:US
Mailing Address - Phone:305-690-4220
Mailing Address - Fax:305-690-4218
Practice Address - Street 1:111 NW 183RD ST
Practice Address - Street 2:SUITE 402
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4537
Practice Address - Country:US
Practice Address - Phone:305-690-4220
Practice Address - Fax:305-690-4218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL963251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care