Arbor Temporary Services Inc

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

16 Issued in FL

Legal business name

ARBOR TEMPORARY SERVICES INC

Doing business as

Arbor Medical Staffing

Practice address

25 Pine Cone Dr Ste 4
Palm Coast, FL 32164-8424

Phone

(386) 445-7701

Fax

(386) 446-1542

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Balller, CPA

Title

Controller

Phone

(386) 445-7701

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arbor Medical Staffing Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568587376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354526",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321354526",
            "telephone_number": "386-445-7701",
            "fax_number": "386-446-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PINE CONE DR STE 4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648424",
            "telephone_number": "386-445-7701",
            "fax_number": "386-446-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR TEMPORARY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "386-445-7701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "FL",
            "license": "16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PROVIDER POOL",
            "identifier": "16",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Medical Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Supports Brokerage Agency in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Supports Brokerage Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.