Fleur De Lis Medical Management LLC

NPI #1033681218 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1033681218
Entity Type: Organization
Organization Name: Fleur De Lis Medical Management LLC
Primary Specialty: Physician Assistant
Enumeration Date: Dec 27, 2018
Last Updated: Dec 27, 2018

Practice Location

Address: 824 SW 10TH ST
City: Fort Lauderdale
State: Florida
ZIP Code: 33315-1273
Phone: (954) 480-3322

Authorized Official

Name: LIANNE HAHN
Title: OWNER
Phone: (954) 480-3322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Contractor	171W00000X
General Practice	208D00000X
Hospitalist	208M00000X
Legal Medicine	209800000X
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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