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Organization
FLEUR DE LIS MEDICAL MANAGEMENT LLC
Active
Organization
FLEUR DE LIS MEDICAL MANAGEMENT LLC
Active
Other names
Advanced Practice Provider Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LIANNE HAHN (OWNER)
(954) 480-3322
Entity
Organization
Contact information
Practice address
824 SW 10TH ST, FORT LAUDERDALE, FL 33315-1273
(954) 480-3322
Mailing address
824 SW 10TH ST, FORT LAUDERDALE, FL 33315-1273
(954) 480-3322
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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