Organization

Fort Lauderdale Physician Services, Llc

Hospitalist Physician in Fort Lauderdale, FL(View on Map)

Legal Business Name

Fort Lauderdale Physician Services, Llc

NPI Number

1497209027

NPI Type

Organization

Enumeration Date

08/11/2016

Specialties

(Taxonomies)

Code

208M00000X
363L00000X
363A00000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

200 CORPORATE BLVD
6401 N FEDERAL HWY

City

Lafayette
Fort Lauderdale

State

LA
FL

Postal Code

70508-3870
33308-1427

Country

US
US

Telephone Number

(800) 893-9698
(954) 776-8500

Authorized Official

Name

Lisha Falk

Title or Position

VP OF CONTRACTING

Telephone Number

(337) 609-1221

Identifiers

Identifier

IW477A
019366800

Identifier State

FL
FL

Identifier Issuer

MEDICARE OF FLORIDA
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/23/2022

Provider Address

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