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Contact Information

FLEUR DE LIS MEDICAL MANAGEMENT LLC
824 SW 10TH ST
FORT LAUDERDALE, FL33315-1273
 Phone: 954-480-3322
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Contractor

171W00000X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Legal Medicine

209800000X
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for FLEUR DE LIS MEDICAL MANAGEMENT LLC · (Female)

NPI # 1033681218
Status Active
Credentials
Entity Individual
Enumeration date 12/27/2018
Last updated 12/27/2018 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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