FLEUR DE LIS MEDICAL MANAGEMENT LLC (NPI# 1033681218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033681218 |
Entity Type | Organization |
Organization Name | FLEUR DE LIS MEDICAL MANAGEMENT LLC |
Practice Address |
824 Sw 10th St Fort Lauderdale FL 33315-1273 |
Practice Telephone | 9544803322 |
Mailing Telephone | 9544803322 |
Enumeration Date | 2018-12-27 |
Last Update Date | 2018-12-27 |
Authorized Official Name | LIANNE HAHN (OWNER) |
Authorized Official Telephone | 9544803322 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 171W00000X | Contractor | Other Service Providers | ||
N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
N | 209800000X | Legal Medicine | Allopathic & Osteopathic Physicians | ||
N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Advanced Practice Provider Solutions LLC | Doing Business As Name - Organization |
Street Address |
824 SW 10TH ST |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33315-1273 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053840496 | Veronica Rodriguez | Homemaker | 1809 Sw 23rd St, Fort. Lauderdale, FL 33315 | 2017-06-08 |
1780008805 | Acute Air Ambulance | Ambulance | 240 Sw 34th St, Fort Lauderdale, FL 33315 | 2014-02-10 |
1649551680 | Luis Abreu | Counselor | 325 Sw 28th Street, Broward Addiction Recovery Center, Ft. Lauderdale, FL 33315 | 2011-09-05 |
1346461530 | Carlos L. Aponte | Counselor | 2600 Sw 4th Ave., Ft. Lauderdale, FL 33315 | 2007-05-02 |
1508907619 | Jason Michael Melachrino | Pharmacist | 831 Sw 16th Ct, Fort Lauderdale, FL 33315 | 2007-02-09 |
1790085819 | Wendy Elizabeth Pinales Swanson | Dentist | 2421 Sw 6th Ave, Ft Lauderdale, FL 33315 | 2010-10-22 |
1649312877 | Carrie Flanigan Melachrino | Pharmacist | 831 Sw 16th Ct, Fort Lauderdale, FL 33315 | 2007-02-13 |
1891166807 | Jeffrey Spindler | Nurse Practitioner | 401 Sw 4th Ave, #209, Fort Lauderdale, FL 33315-1013 | 2015-10-16 |
1336605492 | Lillie Peace Pharmacy | Pharmacy | 303 Sw 6th St, Fort Lauderdale, FL 33315-1027 | 2019-02-13 |
1518510841 | Mobile Chiro Rehab, Inc. | Chiropractor | 618 Sw 6th St, Fort Lauderdale, FL 33315-1034 | 2019-07-16 |
Find all providers in zip 33315 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124654538 | Joanna Gasdogas | Physician Assistant | 6451 N Federal Hwy Ste 700, Fort Lauderdale, FL 33308-1420 | 2020-03-17 |
1487299178 | Johanne Louis | Physician Assistant | 730 Nw 19th St Apt West, Fort Lauderdale, FL 33311-4006 | 2019-11-17 |
1013551266 | Tito Velasquez | Physician Assistant | 1160 N Federal Hwy Apt 1023, Fort Lauderdale, FL 33304-1436 | 2019-10-31 |
1275001406 | Michael Louis Alexander Jr. | Physician Assistant | 1940 Ne 47th St Ste 1, Fort Lauderdale, FL 33308-7711 | 2018-11-06 |
1972088706 | Kayla Lynn Ventura | Physician Assistant | 4801 N Federal Hwy Ste 101, Fort Lauderdale, FL 33308-4618 | 2018-09-27 |
1528557394 | Allied Health Provider LLC | Physician Assistant | 1625 Ne 3rd Ct, Fort Lauderdale, FL 33301-3808 | 2018-05-07 |
1396246005 | Marissa Amina Kazim | Physician Assistant | 3465 Galt Ocean Dr Ste 101, Fort Lauderdale, FL 33308-7077 | 2018-02-27 |
1306356886 | Jennifer Ashley Alexander | Physician Assistant | 4701 N Federal Hwy Ste A39, Fort Lauderdale, FL 33308-4608 | 2017-10-10 |
1366842585 | Hannah Silverman | Physician Assistant | 4800 Ne 20th Ter Ste 115, Fort Lauderdale, FL 33308-4510 | 2014-08-25 |
1811240518 | Angela Kakaley Hall | Physician Assistant | 900 Ne 26th Ave, Fort Lauderdale, FL 33304-3607 | 2012-10-18 |
Find all providers in FORT LAUDERDALE |
City | FORT LAUDERDALE |
Zip Code | 33315 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.