Organization
LFT MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LOR FAYEZ TANOUS (PRESIDENT)
(954) 963-6530
Entity
Organization
Contact information
Practice address
4030 SHERIDAN ST, STE A, HOLLYWOOD, FL 33021-3564
(954) 963-6530
(954) 963-8587
Mailing address
4030 SHERIDAN ST, STE A, HOLLYWOOD, FL 33021-3564
(954) 963-6530
(954) 963-8587
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/22/2012
Last updated
10/13/2012
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