# FLEUR DE LIS MEDICAL MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Practice Provider Solutions LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033681218
- **Authorized official:** LIANNE HAHN (OWNER)
- **Authorized official phone:** (954) 480-3322

## Contact information

- **Practice address:** 824 SW 10TH ST, FORT LAUDERDALE, FL 33315-1273
- **Practice address phone:** (954) 480-3322
- **Mailing address:** 824 SW 10TH ST, FORT LAUDERDALE, FL 33315-1273
- **Mailing address phone:** (954) 480-3322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 12/27/2018
- **Last updated:** 12/27/2018