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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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