FLEUR DE LIS MEDICAL MANAGEMENT LLC


Address: 824 Sw 10th St, Fort Lauderdale, FL 33315-1273
Phone: 9544803322

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Advanced Practice Provider Solutions LLC Doing Business As Name - Organization

Office Location

Street Address 824 SW 10TH ST
City FORT LAUDERDALE
State FL
Zip Code 33315-1273

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City FORT LAUDERDALE
Zip Code 33315

Improve Information

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Dataset Information

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.

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