JK Medical Staffing LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

JK MEDICAL STAFFING LLC

Practice address

1031 Ives Dairy Rd Ste 228
Miami, FL 33179-2538

Phone

(954) 708-4861

Fax

(954) 239-6111

NPI assigned

Nov 3, 2023

Organization subpart

No

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

Authorized official

Name

Kardell G Musgrove

Title

Administrator

Phone

(954) 708-4861

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1669245353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 IVES DAIRY RD STE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792538",
            "telephone_number": "954-708-4861",
            "fax_number": "954-239-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 IVES DAIRY RD STE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792538",
            "telephone_number": "954-708-4861",
            "fax_number": "954-239-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK MEDICAL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "MUSGROVE",
        "authorized_official_first_name": "KARDELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-708-4861"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Miami, FL
• Providers in Miami, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.