Organization
HS1 MEDICAL MANAGEMENT INC
Active
Other names
Health System One
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J LEAHY (PRESIDENT)
(800) 422-3672
Entity
Organization
Contact information
Practice address
2001 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-3429
(800) 422-3672
(305) 620-5876
Mailing address
2001 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-3429
(800) 422-3672
(305) 620-5876
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
992366700
—
FL
01
—
CERT # 1702,REG #806
PRIVATE REVIEW AGENT
FL
01
—
CERT 5358
PRIVATE REVIEW AGENT
TX
01
—
COMPANY CODE 168041
PRIVATE REVIEW AGENT
SC
01
—
TPA 44185
TPA LICENSE
GA
01
—
TPA20070107
TPA
IL
Enumeration date
03/09/2007
Last updated
08/17/2018
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