Basic Information
| Provider Information | |||||||||
| NPI: | 1922401645 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FIRST CLASS STAFFING,LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5996 SW 70TH ST | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331433540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052847701 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6140 SW 70TH ST | ||||||||
| Address2: | SECOND FLOOR | ||||||||
| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331433419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052847701 | ||||||||
| FaxNumber: | 3056753714 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/08/2014 | ||||||||
| LastUpdateDate: | 10/14/2014 | ||||||||
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| AuthorizedOfficialLastName: | SOSA-GUERRERO | ||||||||
| AuthorizedOfficialFirstName: | SANDY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3052847701 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.