Provider Demographics
NPI:1982247037
Name:PNS CLINICAL STAFFING LLC
Entity Type:Organization
Organization Name:PNS CLINICAL STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PELAYO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-284-7484
Mailing Address - Street 1:8323 NW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1829
Mailing Address - Country:US
Mailing Address - Phone:305-284-7484
Mailing Address - Fax:305-901-5480
Practice Address - Street 1:8323 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1829
Practice Address - Country:US
Practice Address - Phone:305-284-7484
Practice Address - Fax:305-901-5480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty